Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Jason Ingraham, PA

Individual provider Physician Assistant · NPI 1659368116

Bradley Jason Ingraham, PA is a Physician Assistant in Mauston, Wisconsin. Qualified in 1998, 28 years ago. Practices with Mile Bluff Medical Center Inc, a 83-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
28
Licensed in
WI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1040 Division St
Mauston, WI 53948-1931 Not confirmed with CMS for 19 years — call before visiting
Phone: (608) 847-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1073 (WI)

Record details

NPI number1659368116
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Mile Bluff Medical Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Mile Bluff Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 83 clinicians in the practice; 12 are shown here.

Other providers in Mauston