Bradley E. Foss

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6116 Issued in WI

Practice address

644 W Oshkosh St
Ripon, WI 54971-1001

Phone

(920) 748-6122

NPI assigned

Oct 1, 2007

Last updated

Jun 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Hillside Dental Associates

  • General Practice Dentistry
  • Ripon, WI
  • NPI 1396765640
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1013104371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 W OSHKOSH ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711001",
            "telephone_number": "920-748-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 W OSHKOSH ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711001",
            "telephone_number": "920-748-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSS",
        "first_name": "BRADLEY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Falahat, MD
• Julie E Felix, APNP
• Alicia Burnam Felker, ATC, LAT, CSCS
• Kelsey Fenske, OTR
• Kelly Jo Field, PHARMD.
• Fox Valley Hematology & Oncology, S.C.
• Daniel B Garcia, PT, DPT
• Shane D Garner, CRNA
• Richard J Gauthier, MD
• Gazzz Group SC

• General Practice Dentistry in Ripon, WI
• Providers in Ripon, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.