Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley E Bastian, PA-C

Individual provider Physician Assistant · NPI 1952333296

Bradley E Bastian, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2004, 22 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4730 Chicago Ave
Minneapolis, MN 55407-3570
Phone: (612) 313-0000
Fax: (612) 313-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10829 (MN)

Record details

NPI number1952333296
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESDecember 27, 2016
Mailing addressPo Box 1309, Msial Stop 21110q, Minneapolis, MN 55440-1309

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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