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

Bradley Christopher Hurliman, PA

Individual provider Physician Assistant · NPI 1144357740

Bradley Christopher Hurliman, PA is a Physician Assistant in West Lafayette, Indiana. Qualified in 2003, 23 years ago. Practices with Randall Dermatology, PC, a 10-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
23
Licensed in
IN, KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

124 Sagamore Pkwy W
West Lafayette, IN 47906
Phone: (765) 463-6722
Fax: (765) 463-0905
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001021A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 798 (KY)

Record details

NPI number1144357740
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address124 Sagamore Pkwy West, West Lafayette, IN 47906

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Randall Dermatology, Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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