Individual provider

Bradley Corbin

Obstetrics & Gynecology Physician Medicare enrolled

Bradley Corbin is an Obstetrics & Gynecology Physician in Orange Park, FL, registered under NPI 1104259548.

Getting there

The practice address on file is 1825 KINGSLEY AVE STE 390, Orange Park, FL 32073. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1825 KINGSLEY AVE STE 390, Orange Park, FL 32073 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME158618 FL Obstetrics & Gynecology Physician primary
5171975 ID Obstetrics & Gynecology Physician

Licences are recorded in 2 states: FL, ID. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
4284963802

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Idaho. The practice address on file is in Orange Park, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
ME158618
Specialty
Obstetrics & Gynecology Physician
Verify with the FL board →
ID Idaho
Licence
5171975
Specialty
Obstetrics & Gynecology Physician
Verify with the ID board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Obstetrics & Gynecology covers

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207V00000X Obstetrics & Gynecology Physician ME158618 FL primary
207V00000X Obstetrics & Gynecology Physician 5171975 ID

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104259548 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 20, 2013
Last updatedDec 4, 2025
StatusActive
Sole proprietorNo
Practice address 1825 KINGSLEY AVE STE 390
Orange Park, FL 32073
(904) 639-2260
Fax (904) 272-1986
Other identifiers 100088853 (WI)
This record was updated on Dec 4, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104259548 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 2 5 9 5 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 5 9 5 8

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104259548?
NPI 1104259548 is the National Provider Identifier assigned to Bradley Corbin in Orange Park, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Obstetrics & Gynecology Physician cover?
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
How do I contact Bradley Corbin?
The phone number on file with NPPES is (904) 639-2260, last updated Dec 4, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Bradley Corbin accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104259548 a valid number?
Yes. 1104259548 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.