Ty David Bradford, PA-C - Medicare Physician Assistant in Salem, OR

Ty David Bradford, PA-C is a medicare enrolled "Physician Assistant" in Salem, Oregon. His current practice location is 863 Liberty St Ne, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (877) 522-1275.

Ty David Bradford is licensed to practice in Oregon (license number PA207912) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053075077.

Contact Information

Ty David Bradford, PA-C
863 Liberty St Ne,
Salem, OR 97301-2451
(877) 522-1275
Not Available



Provider's Profile

Full NameTy David Bradford
GenderMale
SpecialityPhysician Assistant
Location863 Liberty St Ne, Salem, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053075077
  • Provider Enumeration Date: 10/26/2021
  • Last Update Date: 01/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012386717
  • Enrollment ID: I20221219001762

Medical Identifiers

Medical identifiers for Ty David Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053075077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA60273 (California)Secondary
363A00000XPhysician Assistant PA207912 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ty David Bradford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ty David Bradford, PA-C
1331 Orchard Heights Rd Nw Apt 3069,
Salem, OR 97304-2573

Ph: (530) 598-0525
Ty David Bradford, PA-C
863 Liberty St Ne,
Salem, OR 97301-2451

Ph: (877) 522-1275

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› Verified 4 days ago


Physician Assistant Nurses in Salem, OR

Mr. Christopher Michael Simpson, PA
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Practice Location: 890 Oak St Se Bldg A, Salem, OR 97301
Phone: 503-814-1278    Fax: 503-814-1071
Mr. Joel Horst, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 5125 Skyline Rd S, Salem, OR 97306
Phone: 503-763-3639    Fax: 503-315-4678
Robin Michelle Jewett, P.A.-C
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Practice Location: 2755 Commercial St Se # 101-258, Salem, OR 97302
Phone: 503-896-0297    Fax: 877-719-1596
Mr. Kevin A Bell, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1600 State St, Salem, OR 97301
Phone: 503-540-6300    Fax: 503-540-6404
Mr. Curt Carlton Stilp, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 1600 State St, Salem, OR 97301
Phone: 503-540-6300    Fax: 503-540-6404
Melissa Walsh, P.A.
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Medicare: Accepting Medicare Assignments
Practice Location: 875 Oak St Se Ste 4030, Salem, OR 97301
Phone: 503-561-6444    
Jessica Frances Baca, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 885 Mission St Se, Salem, OR 97302
Phone: 503-814-0273    Fax: 503-814-0273

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