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

Bradly Lantz, PA

Individual provider Physician Assistant · NPI 1063988723

Bradly Lantz, PA is a Physician Assistant in Vestal, New York. Qualified in 2018, 8 years ago. Practices with Guthrie Medical Group PC, a 797-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone: (607) 729-2144
Fax: (607) 729-2145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1063988723
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESOctober 22, 2018
Mailing address33 Lewis Rd, 2nd Fl, Binghamton, NY 13905

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Guthrie Medical Group Pc — 797 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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