Nicole Bradway
NPI 1639698236ActiveIndividual· Physician Assistant· Royal Oak, MI
Physician Assistant in Royal Oak, Michigan, trained at Mercy College (class of 2017). 96 Medicare patients in 2024, $14,253 paid; nearly all of their 561 Part D prescriptions were generic (97%). Bioventus LLC was the largest of 6 companies reporting payments in 2025, $950.63 in all, mostly food and beverage.
Overview
| NPI | 1639698236 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 14, 2017 |
| Last updated in NPPES | May 19, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601010351 | MI |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI); Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 190 across 43 procedure codes |
| Paid by Medicare | $14,253 |
Part D prescriptions in 2024
| Prescriptions (claims) | 561 · 570 30-day fills |
|---|---|
| Patients | 197 |
| Total drug cost | $6,582 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Mercy College |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Physician Assistant |
Medical groups
- White Plains Physician Services PCHarrison, NY · 386 clinicians
- Michigan Orthopaedic Surgeons PLLCBeverly Hills, MI · 127 clinicians
- Fairway Physical Therapy LLCPalm Beach Gardens, FL · 86 clinicians
Hospital affiliation
- White Plains Hospital CenterWhite Plains, NY
Other facilities
- Burke Rehabilitation HospitalInpatient rehabilitation facility · White Plains, NY
Industry payments (Open Payments)
- 2025$950.63 · 14 payments from 6 companies
- 2024$1,297 · 22 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bioventus LLC | $304.96 | 3 |
| Depuy Synthes Sales Inc. | $236.85 | 4 |
| Gotham Surgical Solutions & Devices, Inc. | $174.40 | 3 |
| Medical Device Business Services, Inc. | $163.11 | 2 |
| Molnlycke Health Care US, LLC | $37.23 | 1 |
What the 2025 payments were for
- Food and Beverage$813.62 · 13 payments
- Education$137.01 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 212 physician assistants in Royal Oak · All physician assistants in Michigan