Bradley J. Brown D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025807L Issued in PA

Legal business name

BRADLEY J. BROWN D.D.S.,P.C.

Practice address

101 5TH St
Ellwood City, PA 16117-2303

Phone

(724) 752-1506

Fax

(724) 752-2018

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Jesse Brown, D.D.S.NPI 1174597561

Title

Pres of Corp/Owner Dentist

Phone

(724) 752-1506

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Jesse Brown, D.D.S.

  • Dentist
  • Ellwood City, PA
  • NPI 1174597561

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1053385625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 5TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172303",
            "telephone_number": "724-752-1506",
            "fax_number": "724-752-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172303",
            "telephone_number": "724-752-1506",
            "fax_number": "724-752-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J. BROWN D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "PRES OF CORP/OWNER DENTIST",
        "authorized_official_telephone_number": "724-752-1506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025807L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "BR509853",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Blyth, RN
• Jennifer Bollinger, LSW
• Alexis Boots, OTD, OTR/L
• Shane Tyler Boyd, CRNP
• Eileen Boyle, MD
• Bradley Jesse Brown, D.D.S.
• Chelsea R Brown, MS OTR/L, CLT
• Cristina Brown, PA-C
• Mary Bukowski
• Burk Physical Therapy and Rehabilitation

• General Practice Dentistry in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.