MEDICARE: MR. BRADFORD CHASE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	103564	NC

General Provider Information

NPI Number	:	1023018207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRADFORD CHASE PA-C

Provider Business Mailing Address
First Line	:	607 IDOL ST
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27262-7804
Country	:	US
Telephone Number	:	336-802-2400
Fax Number	:	336-802-2001

Provider Business Practice Location Address
First Line	:	4590 PREMIER DR
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8193
Country	:	US
Telephone Number	:	336-802-2050
Fax Number	:	336-802-2051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	03/30/2009

Similar Medicare Providers

1568177335 — APRIL HANEL
Practice Location Address:

4510 PREMIER DR
HIGH POINT, NC
27265-8193

Practice Phone: 336-568-6122
Practice Fax: 317-520-8200

1194785071 — TRIAD WOMEN'S CENTER PA
Practice Location Address:

4510 PREMIER DR , SUITE 102
HIGH POINT, NC
27265-8193

Practice Phone: 336-841-6574
Practice Fax: 336-841-6906

1205151826 — REGIONAL PHYSICIANS LLC
Practice Location Address:

4590 PREMIER DR
HIGH POINT, NC
27265-8193

Practice Phone: 336-883-9675
Practice Fax: 336-883-9728

1114340213 — GREENSBORO SPINE AND SCOLIOSIS CENTER, PLLC
Practice Location Address:

4590 PREMIER DR
HIGH POINT, NC
27265-8193

Practice Phone: 336-333-6306
Practice Fax: 336-333-6309

1629506431 — DR. LISA GRAVES WOODING OTD
Practice Location Address:

4510 PREMIER DR
HIGH POINT, NC
27265-8193

Practice Phone: 336-568-6122
Practice Fax: 317-520-8200

1568978278 — CHELSEY MARIE FOSDICK BCBA
Practice Location Address:

4510 PREMIER DR
HIGH POINT, NC
27265-8193

Practice Phone: 336-568-6122
Practice Fax: 317-520-8200

Directions to “ MR. BRADFORD CHASE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.