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

Bradley Bourgeois

Individual provider Physical Therapist · NPI 1417586827

Bradley Bourgeois is a Physical Therapist in Private Practice in El Cajon, California. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

250 Travelodge Dr
El Cajon, CA 92020-4126
Phone: (335) 742-2738
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 297786 (CA)

Record details

NPI number1417586827
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESMay 27, 2025
Certification dateMarch 24, 2025
Mailing address3007 Chipwood Ct, Spring Valley, CA 91978-1966

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in El Cajon