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

Paul Ryan Bader, PA

Individual provider Physician Assistant · NPI 1407484900

Paul Ryan Bader, PA is a Physician Assistant in Johnson City, Tennessee. Qualified in 2020, 6 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 Med Tech Pkwy Ste 100
Johnson City, TN 37604-4006
Phone: (423) 794-1800
Fax: (423) 794-1801
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4187 (TN)

Record details

NPI number1407484900
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing addressPo Box 632476, Cincinnati, OH 45263-2476

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 State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City