Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coastal Radiology Associates PA

Organization Diagnostic Radiology Physician · NPI 1750524393

Coastal Radiology Associates PA provides Diagnostic Radiology Physician services in Fort Walton Beach, Florida. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708 Not confirmed with CMS for 17 years — call before visiting
Phone: (850) 315-7807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1750524393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Brobeck — President · (850) 399-0998
NPI enumeratedApril 13, 2009
Last updated in NPPESJuly 31, 2009
Mailing address1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708

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