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

Mr. Bradley James Petty, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790103976

Mr. Bradley James Petty, MD is an Otolaryngology in Richland, Washington. Graduated from Georgetown University School of Medicine in 2014, 12 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Trained at
Georgetown University School of Medicine
Licensed in
WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

780 Swift Blvd Ste 301
Richland, WA 99352-3524
Phone: (509) 942-3178
Fax: (509) 946-1735
Show map & directions

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

Additional practice locations (1)

  • 910 Madison Ave Ste 1031, Memphis, TN 38103-3403 — (901) 448-5364

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MD60907536 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790103976
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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