NPI age
20 years
Enumerated 2006-07-05
● Active
Type 1 · Individual
MS. Lynn Koenecke Bradley, P.A.
Bradley is 1 of 42 medical (physician assistant) providers in Decatur and 1 of 1,322 in Georgia.
Primary specialty
Medical (Physician Assistant)
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1322 active medical (physician assistant) providers in Georgia.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2006 → 2007
2006-07Enumerated in NPPES
2006
2007
Where they practice
Practice location
Va Medical Center, 1670 Clairmont Road
Decatur, GA 300339819
Mailing address
1047 Swaying Pines Trce
Marietta, GA 300662784
Specialties
-
Physician Assistant PrimaryCMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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