Bradley Girdwood

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30026284 Issued in OH

Practice address

4030 Smith Rd Ste 110
Cincinnati, OH 45209-1937

Phone

(513) 631-8920

NPI assigned

Mar 25, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Ronald J Solomon DDS Angela Ott DDS, Inc

  • Dental Clinic/Center
  • Cincinnati, OH
  • NPI 1942734157
  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1043771900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUGH WAY UNIT 10",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 SMITH RD STE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091937",
            "telephone_number": "513-631-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRDWOOD",
        "first_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30026284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Gipson
• Tasha L Gipson, RN, BSN, CPN
• Richard Girard-Domena, LCSW
• Deborah M Girard, M.D.
• Javier Girardot, DMD
• Andrea Kelley Girnius, M.D.
• Jennifer Giroux
• Bradley Thomas Girten, RN
• Dawn Girten
• Paul W Girten, RPH

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.