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

Bradley Ophoff

Individual provider Medical Physician Assistant · NPI 1275142986

Bradley Ophoff is a Physician Assistant in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Michigan Ear Nose Throat and Allergy Specialists PC, a 42-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

1819 Carew St
Fort Wayne, IN 46805-4705
Phone: (805) 570-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1275142986
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2020
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020
Mailing address1819 Carew St, Fort Wayne, IN 46805-4705

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Michigan Ear Nose Throat And Allergy Specialists Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Wayne