David Bradley DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVID BRADLEY DDS PC

Practice address

42010 Grand River Avenue
Novi, MI 48375-1831

Phone

(248) 380-9330

Fax

(248) 380-9359

NPI assigned

Apr 27, 2022

Last updated

Apr 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Bradley, DDSNPI 1598801250

Title

Doctor/Owner

Phone

(248) 380-9330

Specialties & licenses 1

Addresses

Tax ID family

Bradley Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bradley Dental

  • General Practice Dentistry
  • Warren, MI
  • NPI 1770848129
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David F Bradley, DDS

  • General Practice Dentistry
  • Novi, MI
  • NPI 1598801250
  Authorized official Same address or phone

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1033853726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42010 GRAND RIVER AVENUE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751831",
            "telephone_number": "248-380-9330",
            "fax_number": "248-380-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42010 GRAND RIVER AVENUE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751831",
            "telephone_number": "248-380-9330",
            "fax_number": "248-380-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BRADLEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "248-380-9330",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verlillian R. Daugherty
• Amy Dauss
• Alondra Davalos
• Debbie Davenport
• Mary J Davenport
• David M. Shepherd MD PC (Style-Eyes Optical)
• David M. Shepherd MD PC (Style-Eyes Optical)
• David Salah DDS PC (Progressive Dental Group)
• Mbaember David-Wuam
• Kelly Davidson

• General Practice Dentistry in Novi, MI
• Providers in Novi, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.