Individual ProviderMollie BradleyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1945 State Route 33, Neptune, NJ 07753-4859(732) 776-2330(732) 693-1392PECOS EnrollmentBased on the most recent information from CMS, provider Mollie Bradley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1306523717Provider TypeIndividualFull NameBradley, MollieCredentialPAGenderFemaleSole ProprietorNoEnumeration Date6/28/2023Last Updated3/3/2025Contact InformationPractice LocationPractice Address1945 State Route 33, Neptune, NJ 07753-4859Phone(732) 776-2330Fax(732) 776-2344Mailing LocationMailing Address135 N Lovett Ave, Little Silver, NJ 07739-1402Phone(732) 693-1392FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00795000New JerseyCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer