Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Allen Irvin

Individual provider Physician Assistant · NPI 1629584917

Bradley Allen Irvin is a Physician Assistant in Morristown, Tennessee. Qualified in 2017, 9 years ago. Practices with Cogent Healthcare of Georgia PC, a 255-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4185 Willow Way
Morristown, TN 37814-1611
Phone: (423) 248-4972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 — (803) 434-8323

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3029 (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1629584917
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2017
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cogent Healthcare Of Georgia Pc — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Morristown