Active NPI
Amalia Bradburn, PA-C
- Physician Assistant
- Bethesda, MD
National Provider Identifier
1033040126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0010574 | Other | MD | STATE LICENSE |
| PA200002543 | Other | DC | STATE 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.