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

Bradley Tanner, PA-C

Individual provider Physician Assistant · NPI 1588396964

Bradley Tanner, PA-C is a Physician Assistant in Casa Grande, Arizona. Qualified in 2022, 4 years ago. Practices with Casa Grande Internal Medicine PC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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

1637 E Monument Plaza Cir Ste 1
Casa Grande, AZ 85122-5639
Phone: (520) 426-1512
Fax: (520) 509-3728
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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 9551 (AZ)

Record details

NPI number1588396964
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 25, 2022
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

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 Casa Grande Internal Medicine Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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