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

Colleen Bradley

Individual provider Physician Assistant · NPI 1255995411

Colleen Bradley is a Physician Assistant in Surfside Beach, South Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2734 Beaver Run Blvd Unit D
Surfside Beach, SC 29575-5392
Phone: (469) 353-4042
Show map & directions

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

Additional practice locations (1)

  • 2611 Forest Dr, Columbia, SC 29204-2379 — (803) 779-3263

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3360 (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1255995411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2019
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address2734 Beaver Run Blvd Unit D, Surfside Beach, SC 29575-5392

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