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

Bradley Thomas Corbin

Individual provider Obstetrics & Gynecology Physician · NPI 1104259548

Bradley Thomas Corbin is an Obstetrics/Gynecology in Orange Park, Florida. Graduated from Mercer University School of Medicine in 2017, 9 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Idaho.

Years since qualifying
9
Trained at
Mercer University School of Medicine
Licensed in
FL, ID
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1825 Kingsley Ave Ste 390
Orange Park, FL 32073-4484
Phone: (904) 639-2260
Fax: (904) 272-1986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E Idaho St Ste 302, Boise, ID 83712-6269 — (208) 343-7501

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME158618 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 5171975 (ID)

Record details

NPI number1104259548
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2013
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address1825 Kingsley Ave Ste 390, Orange Park, FL 32073-4484

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Orange Park