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

Brian Bradway, PA-C

Individual provider Physician Assistant · NPI 1992241095

Brian Bradway, PA-C is a Physician Assistant in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
Specialties on file
2
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

1835 County Road C W Ste 150
Roseville, MN 55113
Phone: (763) 581-0340
Fax: (763) 581-0341
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 12332 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 12332 (MN)

Record details

NPI number1992241095
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 12, 2017
Last updated in NPPESJuly 23, 2018

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