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

Individual provider Surgical Physician Assistant · NPI 1124576814

Bradley Steven Mummert, PA-C is a Surgical Physician Assistant in Cincinnati, Ohio. Licensed in Ohio and South Carolina. Registered with an NPI since 2016.

Licensed in
OH, SC
In the registry since
2016
Specialties on file
3
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

3333 Burnet Ave Mlc 2004
Cincinnati, OH 45229-3026
Phone: (513) 636-4770
Fax: (513) 636-3847
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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 50.005239RX (OH)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50005239RX (OH)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2611 (SC)

Record details

NPI number1124576814
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2016
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020

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