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

Mr. Spencer A Bradford, PA-S2

Individual provider Medical Physician Assistant · NPI 1205478914

Mr. Spencer A Bradford, PA-S2 is a Physician Assistant in Baltimore, Maryland. Qualified in 2020, 6 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2019
Specialties on file
2

Practice location Address checks out

620 W Lexington St
Baltimore, MD 21201-1508
Phone: (970) 978-7005
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0006388 (CO)

Record details

NPI number1205478914
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S2
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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