Thomas Brader, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10656 Issued in NC

Practice address

4106 Wake Forest Rd Ste 201
Raleigh, NC 27609-6397

Phone

(919) 277-0788

NPI assigned

May 4, 2017

Last updated

May 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tbrader234430@directhisp.wakemed.org

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.

• Lane & Associates Xxii, DDS PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raleigh, NC
  • NPI 1285910455
  NPD (past)
• Unc Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Chapel Hill, NC
  • NPI 1679976484
  NPD (past)

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1053847343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CHAVIS WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011954",
            "telephone_number": "919-740-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 WAKE FOREST RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096397",
            "telephone_number": "919-277-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADER",
        "first_name": "THOMAS",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10656",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "10656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lee Bracken, PH.D.
• Cherise Green Brackett, MD
• Meaghan Brackin, LCMHC-A, CRC
• Brad Rappaport, Psy.D., PLLC (Inner Path Psychotherapy & Wellness)
• Rachel Ann Brader, M.D.
• Allison Bradfield, MS RD
• Bria Bradford, LCSWA
• Dinah M Bradford
• Ruby Bradford
• William Tate Bradford, MD

• Oral and Maxillofacial Surgery (Dentist) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.