NPIMap

Individual provider Active NPI

Paul Richard Bradbury, PA-S

  • Physician Assistant
  • Choteau, MT
National Provider Identifier
1902319635
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
62772 Issued in MT
Practice address
915 4TH St NW
Choteau, MT 59422-9123
Phone
(865) 386-3005
NPI assigned
Nov 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 62772 MT Primary

Addresses

Primary practice location

915 4TH St NW
Choteau, MT 59422-9123

Mailing address

915 4TH St NW
Choteau, MT 59422-9123

Other practice location 1

266 County Road 406
Athens, TN 37303-6522
Phone (865) 386-3005

Other practice location 2

315 W Madison Ave
Chester, MT 59522-7801
Phone (406) 759-5181

Other practice location 3

418 W Monroe Ave
Chester, MT 59522-7835
Phone (406) 759-5194

Other practice location 4

640 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3200

Other practice location 5

670 Park Ave
Shelby, MT 59474-1663
Phone (406) 966-7040

Other practice location 6

805 Sunset Blvd
Conrad, MT 59425-1717
Phone (406) 271-3211

Other practice location 7

809 Sunset Blvd
Conrad, MT 59425-1799
Phone (406) 271-3231

Other practice location 8

802 2nd St SE
Cut Bank, MT 59427-3329
Phone (406) 873-2251

Other practice location 9

226 9th Ave SE
Cut Bank, MT 59427-3332
Phone (406) 873-5507

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Northern Rockies Medical Center, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180227002241 MT Practitioner - Physician Assistant 8022379411 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty County Hospital and Nursing Home Inc 26 clinicians
Logan Health - Shelby 23 clinicians
Teton Medical Center 11 clinicians
Benefis Community Hospitals Inc 19 clinicians

Practice addresses (Care Compare)

315 W Madison Ave
Chester, MT 59522-7801
Phone (406) 759-5181

418 W Monroe Ave
Chester, MT 59522-7835
Phone (406) 759-5194

640 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3200

915 4TH St NW
Choteau, MT 59422-9123

Hospital & facility affiliations

  • Benefis Teton Medical Center Hospital, Choteau, MT, CCN 271307
  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Northern Rockies Medical Center Hospital, Cut Bank, MT, CCN 271337
  • Logan Health - Chester Hospital, Chester, MT, CCN 271334
  • Logan Health - Shelby Hospital, Shelby, MT, CCN 271328
  • Benefis Teton Medical Center Nursing home, CCN 27Z307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62772MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Garfield CurrentSince Sep 1, 2020 Accepting new patients
Northern Rockies Medical Center, Inc. CurrentSince Jan 11, 2026 Accepting new patients
Benefis Community Hospitals, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Northern Rockies Medical Center, Inc. CurrentSince Jan 11, 2026 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763

226 9th Ave SE
Cut Bank, MT 59427
Phone (406) 873-4941

802 2nd St SE
Cut Bank, MT 59427
Phone (406) 873-2251

640 Park Ave
Shelby, MT 59474
Phone (406) 434-3200

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 11

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

Hospital & facility affiliations 7

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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1902319635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 4TH ST NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 4TH ST NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229123",
            "telephone_number": "865-386-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 County Road 406",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373036522",
            "country_code": "US",
            "telephone_number": "865-386-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MT",
            "postal_code": "595227801",
            "country_code": "US",
            "telephone_number": "406-759-5181",
            "fax_number": "406-759-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 W Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MT",
            "postal_code": "595227835",
            "country_code": "US",
            "telephone_number": "406-759-5194",
            "fax_number": "406-759-5105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MT",
            "postal_code": "594741663",
            "country_code": "US",
            "telephone_number": "406-434-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MT",
            "postal_code": "594741663",
            "country_code": "US",
            "telephone_number": "406-966-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Conrad",
            "state": "MT",
            "postal_code": "594251717",
            "country_code": "US",
            "telephone_number": "406-271-3211",
            "fax_number": "406-271-3917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Conrad",
            "state": "MT",
            "postal_code": "594251799",
            "country_code": "US",
            "telephone_number": "406-271-3231",
            "fax_number": "406-271-3576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Cut Bank",
            "state": "MT",
            "postal_code": "594273329",
            "country_code": "US",
            "telephone_number": "406-873-2251",
            "fax_number": "406-873-3118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 9th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Cut Bank",
            "state": "MT",
            "postal_code": "594273332",
            "country_code": "US",
            "telephone_number": "406-873-5507",
            "fax_number": "406-873-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-16",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "62772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Northern Rockies Medical Center, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "802 2nd St SE",
            "city": "Cut Bank",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594273329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Choteau, MT

Sources for this page

Verify at the official NPI Registry.