Individual provider Active NPI

Michael S Bradley, PA-C

  • Physician Assistant
  • Georgetown, KY
National Provider Identifier
1265860878
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1825 Issued in KY
Practice address
1138 Lexington Rd Ste 110
Georgetown, KY 40324-9673
Phone
(502) 570-3754
Fax
(502) 570-3756
NPI assigned
Oct 16, 2013
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 PA1825 KY Primary

Addresses

Primary practice location

1138 Lexington Rd Ste 110
Georgetown, KY 40324-9673

Mailing address

404 Shoppers Dr
Winchester, KY 40391-1301
Phone (859) 737-5333

Other practice location 1

404 Shoppers Dr
Winchester, KY 40391-1378
Phone (859) 737-5333

Other practice location 2

235 Boggs Ln Ste 7
Richmond, KY 40475-3325
Phone (859) 625-9959

Other practice location 3

360 Amsden Ave Ste 400
Versailles, KY 40383-1855
Phone (859) 737-5333

Other practice location 4

5 Linville Dr Ste 102
Paris, KY 40361-2165
Phone (502) 570-3754

Other identifiers 1

IdentifierTypeStateIssuer
7100277800MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217000854 KY Practitioner - Physician Assistant 1759518848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1138 Lexington Rd
Suite 110
Georgetown, KY 40324-9673
Phone (502) 570-3754

404 Shoppers Dr
Winchester, KY 40391-1301
Phone (859) 737-5333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopaedics & Spine PLLC Physician Assistant CurrentSince Jan 7, 2019 Accepting new patients
Kentucky Orthopaedics & Spine PLLC CurrentSince Jan 7, 2019 Accepting new patients
Kentucky Orthopaedics & Spine PLLC Past Accepting new patients
Kentucky Orthopaedics & Spine PLLC Past Accepting new patients
Kentucky Orthopaedics & Spine PLLC Past Accepting new patients

Locations

1138 Lexington Rd
Ste 110
Georgetown, KY 40324
Phone (502) 570-3754

5 Linville Dr
Ste 102
Paris, KY 40361
Phone (502) 570-3754

235 Boggs Ln
Ste 7
Richmond, KY 40475
Phone (859) 625-9959

360 Amsden Ave
Ste 400
Versailles, KY 40383
Phone (859) 737-5333

404 Shoppers Dr
Winchester, KY 40391
Phone (859) 737-5333

404 Shoppers Dr
Ste 2
Winchester, KY 40391
Phone (859) 744-0036

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1265860878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911301",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 LEXINGTON RD STE 110",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249673",
            "telephone_number": "502-570-3754",
            "fax_number": "502-570-3756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Shoppers Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403911378",
            "country_code": "US",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Boggs Ln Ste 7",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753325",
            "country_code": "US",
            "telephone_number": "859-625-9959",
            "fax_number": "859-625-9958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Amsden Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Versailles",
            "state": "KY",
            "postal_code": "403831855",
            "country_code": "US",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Linville Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "403612165",
            "country_code": "US",
            "telephone_number": "502-570-3754",
            "fax_number": "502-570-3756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100277800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.