Bradley Milde, D.M.D., D.H.SC.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

63014 Issued in CA

Practice address

1223 Higuera St
Suite #201
San Luis Obispo, CA 93401-3145

Phone

(805) 541-3411

NPI assigned

Oct 15, 2007

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1073702155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 HIGUERA ST",
            "address_2": "SUITE #201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013145",
            "telephone_number": "805-541-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 HIGUERA ST",
            "address_2": "SUITE #201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013145",
            "telephone_number": "805-541-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILDE",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D., D.H.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross G Michel, M.D
• David Michels
• Mick S. Meiselman, M.D., Professional Corporation
• Heidi M Mikel, MSW
• Natalie Mikkelsen, OTR/L
• Susanna Miller-Pence, LCSW
• Ashlee Miller
• Austin Miller, ASW
• Bret Delane Miller
• Bruce David Miller, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.