MR. BRADLEY THOMAS MARCINEK PA-C NPI 1477077220

NPI Information

  • NPI: 1477077220
  • Provider Name: MR. BRADLEY THOMAS MARCINEK, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 185 PILGRIM RD
    BOSTON, MA
    ZIP 02215
  • Phone: (617) 632-7246

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NPI Details

MR. Bradley Thomas Marcinek, PA-C is a surgical physician assistant in Boston, MA. MR. Bradley Thomas Marcinek, PA-C NPI is 1477077220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

185 PILGRIM RD
BOSTON, MA
ZIP 02215-324
Phone: (617) 632-7246

The enumeration date for this NPI number is 8/2/2017 and was last updated on 8/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA6222MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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