Derek David Bradley, M.D.
Individual provider Active NPI Interventional Pain Medicine Physician · Jber, AK
NPI 1306263728 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1306263728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- License
- 181765 (AK)
- Practice address
- 5955 Zeamer Ave
Jber, AK 99506-3702 - Phone
- (907) 580-7246
- NPI assigned
- Mar 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181765 | AK | MD | Interventional Pain Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 181765 | AK | Yes |
Addresses
Primary practice location
5955 Zeamer Ave
Jber, AK 99506-3702
Mailing address
1201 N Muldoon Rd
Anchorage, AK 99504-6104
Phone (907) 257-7475
Other practice location 1
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (801) 824-0487
Other practice location 2
1201 N Muldoon Rd
Anchorage, AK 99504-6104
Phone (907) 257-7475
Other providers in Jber, AK
- David Bigelow
- Kristen Ashley Block
- Jacob Blotter
- Olivia Nicole Bounthanom
- Michael Ross Boyd
- Rebecca Briones
- Jonathan Everett Brown
- Luke Isaac Brown
- Rebecca K Burns
- Michael R Burpee
All providers in Jber, AK · Interventional Pain Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.