Bradford L Klassman, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

G1-0001067 Issued in DE

Practice address

1110 N Bancroft Pkwy
Wilmington, DE 19805-2669

Phone

(302) 658-7871

Fax

(302) 652-1174

NPI assigned

Jan 19, 2006

Last updated

Oct 22, 2019By the provider in NPPES

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)

Enrolled

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.

• Delaware Periodontics, P.a.

  • Periodontics
  • Wilmington, DE
  • NPI 1356476279
  Authorized official Same address or phone

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1053391706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N BANCROFT PKWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052669",
            "telephone_number": "302-658-7871",
            "fax_number": "302-652-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N BANCROFT PKWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052669",
            "telephone_number": "302-658-7871",
            "fax_number": "302-652-1174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405099",
            "country_code": "US",
            "telephone_number": "215-707-2953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLASSMAN",
        "first_name": "BRADFORD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DE",
            "license": "G1-0001067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Kiszkiel, MD
• Courtney Kitchen, NNP
• Denise E Kitson, LCSW
• Ellen E Kjoller, DO
• Shana Klair, RN,BSN
• George W Kledaras, O.D.
• Rachel Klein
• Samantha Klein
• Shirley P Klein, MD
• Steven H Klein, MD

• Periodontics in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Periodontics in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.