Bradley A. Nace

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-2307 Issued in ID

Practice address

240 S Main St
Wolfeboro, NH 03894-4455

Phone

(603) 569-7690

Fax

(603) 569-7664

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Bradley A. Nace Professional name

Medicare fee-for-service enrollment

Enrolled in CO, NH2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Rio Blanco County Health Service DistrictGroup PAC ID 0345249751, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eastern Rio Blanco County Health Service District Hospital, Meeker, CO, CCN 061325
• Community Hospital Hospital, Grand Junction, CO, CCN 060054

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.nace.1@18308.direct.athenahealth.com
• Direct secure messaging: bradley.nace.1@31155.direct.athenahealth.com

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.

• Eastern Rio Blanco County Health Service District

  • Rural Health Clinic/Center
  • Meeker, CO
  • NPI 1902900269
  Medicare reassignment Care Compare group NPD
• Emergency Professionals of Colorado, PC

  • Emergency Medicine Physician
  • Loveland, CO
  • NPI 1396496469
  Medicare reassignment
• Eastern Rio Blanco County Health Service District

  • Multi-Specialty Clinic/Center
  • Meeker, CO
  • NPI 1982302022
  NPD
• CHS Professional Practice, P.C.

  • Cardiovascular Disease Physician
  • Allentown, PA
  • NPI 1780964635
  NPD (past)
• Emergency Professionals of Colorado, PC

  • Emergency Medicine Physician
  • Greeley, CO
  • NPI 1366835415

  Physician Assistant

  NPD (past)
• St Luke'S Magic Valley Regional Medical Center LTD

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)

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

• Colorado West Healthcare System

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Care Compare affiliation
• Eastern Rio Blanco County Health Service District

  • Critical Access Hospital
  • Meeker, CO
  • NPI 1801874771
  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1972501849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944455",
            "telephone_number": "603-569-7690",
            "fax_number": "603-569-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944455",
            "telephone_number": "603-569-7690",
            "fax_number": "603-569-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1296 E Polston Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545217",
            "country_code": "US",
            "telephone_number": "208-625-6700",
            "fax_number": "208-625-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACE",
        "first_name": "BRADLEY",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2307",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003736",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003465L",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "2149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59036371",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADLEY",
            "last_name": "NACE",
            "middle_name": "A.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Deborah Ann Mueller, M.D.
• Caitlin Elizabeth Mullaney, FNP-BC
• Thomas Murphy Jr., LPN
• Robert Murray, MD
• Susan Evelyn Murray, OTR
• Erik Owen Nelson, ND
• New Hampshire Emergency Physician Associates PC
• Joni Sini O'Brien, MLADC
• Timothy W O'Brien, PA-C
• Rebecca Owen, DO

• Physician Assistant in Wolfeboro, NH
• Providers in Wolfeboro, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.