# BRADLEY A. NACE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972501849
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | MA003465L | PA | — |
| 363A00000X | Physician Assistant | PA-2307 | ID | Yes |
| 363A00000X | Physician Assistant | PA.0003736 | CO | — |
| 363AS0400X | Surgical Physician Assistant | 2149 | NH | — |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 07/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 59036371 | — | CO |