Bradley John Burket in Bend - General Practice
Bradley John Burket - NPI 1235165325
Bradley John Burket is a General Practice in Bend, Oregon. Bradley John Burket practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley John Burket is 1235165325. The last update date is 2012-01-17.
Bradley John Burket's current location address is 2195 Ne Professional Ct, Bend, Oregon. You can contact this provider via phone number 5413229396 and fax number 5413229398. The mailing address for Bradley John Burket is 2195 Ne Professional Ct, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley John Burket |
|---|---|
| Address | 2195 Ne Professional Ct, Bend, Oregon |
| Phone Number | 5413229396 |
| Fax Number | 5413229398 |
| Sole Proprietor | Y |
| Credentials | D.M.D.,M.D |
NPI Number Detail
| NPI Number | 1235165325 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2012-01-17 |
Provider Mailing Address Detail
| Address | 2195 Ne Professional Ct |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977016028 |
| Phone Number | 5413229396 |
| Fax Number | 5413229398 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D6600 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1156820001 | OR | CIGNA | |
| 2955000 | OR | BCBS | |
| 100117 | OR | COIHS | |
| 80507 | OR | -- | |
| 7608077 | OR | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bradley John Burket by the Centers for Medicare & Medicaid Services?
The Bradley John Burket has been issued the NPI (National Provider Identifier) 1235165325, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bradley John Burket's facilities are geographically located?
The facilities of Bradley John Burket are physically situated at the following location: 2195 Ne Professional Ct, Bend, OR, 977016028.
What is the Bradley John Burket's area of specialization and corresponding taxonomy classification?
The Bradley John Burket's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1235165325 to Bradley John Burket?
The Bradley John Burket received its 1235165325 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information regarding Bradley John Burket most recently updated?
The details pertaining to the Bradley John Burket, including its address, specialty, and other relevant information, were last refreshed on 2012-01-17.
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