Individual provider Active NPI

Amalia Bradburn, PA-C

  • Physician Assistant
  • Bethesda, MD
National Provider Identifier
1033040126
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7500 Old Georgetown Rd Ste 301
Bethesda, MD 20814-6133
Phone
(301) 657-9876
Fax
(301) 657-8240
NPI assigned
May 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7500 Old Georgetown Rd Ste 301
Bethesda, MD 20814-6133

Mailing address

7500 Old Georgetown Rd Ste 301
Bethesda, MD 20814-6133
Phone (301) 657-9876

Other practice location 1

3301 New Mexico Ave NW Ste 110
Washington, DC 20016-3622
Phone (301) 657-9876

Other identifiers 2

IdentifierTypeStateIssuer
C0010574OtherMDSTATE LICENSE
PA200002543OtherDCSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

905 Connor CT
Reading, PA 19608-9519

PO Box
Suite 393
Seekonk, MA 02771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1033040126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 OLD GEORGETOWN RD STE 301",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146133",
            "telephone_number": "301-657-9876",
            "fax_number": "301-657-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 OLD GEORGETOWN RD STE 301",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146133",
            "telephone_number": "301-657-9876",
            "fax_number": "301-657-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 New Mexico Ave NW Ste 110",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200163622",
            "country_code": "US",
            "telephone_number": "301-657-9876",
            "fax_number": "301-657-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADBURN",
        "first_name": "AMALIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C0010574",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA200002543",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.