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

Brandon Braddock, PA-C

Individual provider Physician Assistant · NPI 1336536697

Brandon Braddock, PA-C is a Physician Assistant in Saint Augustine, Florida. Qualified in 2015, 11 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

300 Health Park Blvd Ste 4000
Saint Augustine, FL 32086-3707
Phone: (904) 824-8666
Show map & directions

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

Additional practice locations (1)

  • 3175 A1a South, Suite 2, St. Augustine, FL 32080 — (904) 540-5454

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108661 (FL)

Record details

NPI number1336536697
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 23, 2015
Last updated in NPPESMay 31, 2024
Certification dateMay 25, 2024
Mailing address607 Peggy Pl, Saint Augustine, FL 32086-7199

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Saint Augustine