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

Bradley W Wine, MD

Individual provider Emergency Medicine Physician · NPI 1578126561

Bradley W Wine, MD is a Family Practice in Valdez, Alaska. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2019, 7 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group and accepts Medicare assignment. Licensed in Alaska and Washington.

Years since qualifying
7
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
AK, WA
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

911 Meals Ave
Valdez, AK 99686-0046
Phone: (907) 835-2249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD61653822 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 913315 (AK)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD.MD61653822 (WA)

Record details

NPI number1578126561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2019 (7 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare