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

Bradley James Centala

Individual provider Physician Assistant · NPI 1194477075

Bradley James Centala is a Physician Assistant in Allen Park, Michigan. Qualified in 2022, 4 years ago. Practices with Henry Ford Wyandotte Hospital, a 194-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

7226 Allen Rd
Allen Park, MI 48101-2060
Phone: (313) 874-4806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1528 Huntington Blvd, Grosse Pointe Woods, MI 48236-2533 — (313) 910-5152

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011149 (MI)

Record details

NPI number1194477075
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2022
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Henry Ford Wyandotte Hospital — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Allen Park