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

Bradley Walters, PAC

Individual provider Physician Assistant · NPI 1386077196

Bradley Walters, PAC is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2013, 13 years ago. Practices with Optumcare New Mexico LLC, a 72-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
13
Licensed in
NM
In the registry since
2013
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

610 Broadway Blvd NE
Albuquerque, NM 87102-2372
Phone: (505) 225-2500
Fax: (505) 225-2025
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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 PA2013-0052 (NM)

Record details

NPI number1386077196
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 15, 2013
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Optumcare New Mexico Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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