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NPI · 1124088166 · NPPES-sourced

Brent Bradley D.D.S

ActivePediatric Dentistry
NPI Number
1124088166
Type 1 · Individual
Taxonomy Code
1223P0221X
Contact
(605) 341-3068
License SD · M864
Last Updated
About 18 years ago (Aug 2007)
Enumerated 2006-03-24
Primary practice addressSD · 57702-2407
700 Sheridan Lake RdRapid City, SD 57702-2407
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About this NPIWhat this record shows.

NPI 1124088166 is registered to Brent Bradley D.D.S, a Pediatric Dentistry practising at 700 Sheridan Lake Rd in Rapid City, South Dakota. Pediatric Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Brent Bradley D.D.S has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-03-24
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Brent Bradley D.D.S accepts. To confirm in-network status with your specific health plan, contact Brent Bradley D.D.S directly at (605) 341-3068.

Frequently asked

Yes. NPI 1124088166 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatric Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (605) 341-3068.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Brent Bradley D.D.S is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223P0221X
Last updated2007-08
Enumerated2006-03-24
StatusActive
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