Individual provider Active NPI

Bradley Norfleet Stearsman, DMD PSC

  • Dentist
  • Owensboro, KY
National Provider Identifier
1003974239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5612 Issued in KY
Practice address
2200 E Parrish Ave
BLDG C Suite 102
Owensboro, KY 42303
Phone
(270) 926-3199
Fax
(270) 926-3636
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5612 KY Primary

Addresses

Primary practice location

2200 E Parrish Ave
BLDG C Suite 102
Owensboro, KY 42303

Mailing address

2200 E Parrish Ave
BLDG C Ste 102
Owensboro, KY 42303
Phone (270) 926-3199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210002044 KY Order and Referring Only - Other (Non-Physician) 3779647193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Springs Medical Laboratory,LLC PastSince Dec 31, 2008 Accepting new patients

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14767/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bradley.stearsman.p1@direct.360care.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003974239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BLDG C STE 102",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-926-3199",
            "fax_number": "270-926-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BLDG C SUITE 102",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-926-3199",
            "fax_number": "270-926-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARSMAN",
        "first_name": "BRADLEY",
        "middle_name": "NORFLEET",
        "name_prefix": "Mr.",
        "credential": "DMD PSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.