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

Jewell Douglas Bradford

Individual provider Peer Specialist · NPI 1063136570

Jewell Douglas Bradford is a Peer Specialist in Wasilla, Alaska. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1363 W Spruce Ave
Wasilla, AK 99654-5327
Phone: (907) 376-2411
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1063136570
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

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