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

Mr. Ryan Bradley, PA-C, CAQ-PSY

Individual provider Medical Physician Assistant · NPI 1235862012

Mr. Ryan Bradley, PA-C, CAQ-PSY is a Medical Physician Assistant in Eglin, Florida. Works from 3 locations. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2022
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

4315 El Salvador Way
Eglin, FL 32542-1711
Phone: (575) 386-6585
Show map & directions

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

Additional practice locations (2)

  • 1 11th Ave Ste A2, Shalimar, FL 32579-1318 — (850) 790-9621
  • 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 — (915) 742-2273

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9118992 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 1198847 (TX)

Record details

NPI number1235862012
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , CAQ-PSY
Sole proprietorNo
NPI enumeratedJuly 7, 2022
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024