Xavier Demarius Bradford, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601430 Issued in MI

Practice address

2900 N Saginaw St
Flint, MI 48505-4452

Phone

(181) 040-6424

Fax

(810) 237-6000

NPI assigned

Jul 11, 2022

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 MI

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

Practice roles

Locations

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.

• Hamilton Community Health Network Inc.

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1386624278
  Medicare reassignment NPD
• Hamilton Community Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Burton, MI
  • NPI 1639997257
  NPD

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1013641687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485054452",
            "telephone_number": "181-040-6424",
            "fax_number": "810-237-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485054452",
            "telephone_number": "181-040-6424",
            "fax_number": "810-237-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "XAVIER",
        "middle_name": "DEMARIUS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brackett'S Theraputic Counseling Service
• Jamie Lynn Braden, FNP-C
• Ryan Braden, PA-C
• Jessie Lyn Bradford
• Sidney Bradford, LLBSW
• Bradley E Habermehl OD PC
• Bradley E. Habermehl
• Jared Bradley, DO
• Macie Bradley, LPN
• Michael J Bradley, LBSW

• Dentist in Flint, MI
• Providers in Flint, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.