Bradley A Purcell, DDS, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

30022655 Issued in OH

Practice address

55 Caren Ave Ste 270
Worthington, OH 43085-2515

Phone

(614) 885-4401

Fax

(614) 888-0284

NPI assigned

Aug 4, 2008

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

Enrolled in OH

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

Master of Science

State licenses

Practice roles

Locations

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.

• Bradley a Purcell D.D.S. M.S. & Ryan M. Mizumoto D.M.D., M.S., Inc

  • Prosthodontics
  • Worthington, OH
  • NPI 1912250135
  NPD Authorized official

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1073779575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CAREN AVE STE 270",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852515",
            "telephone_number": "614-885-4401",
            "fax_number": "614-888-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CAREN AVE STE 270",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852515",
            "telephone_number": "614-885-4401",
            "fax_number": "614-888-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30022655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brooke Prueher
• Lyndsey Pruett, PCC
• Mandy Pruitt, PTA
• Lakeisha R Pue
• Adian Puentes-Murillo
• Alexander Pyfrom
• Quantive Health Group LLC
• Quikmedic LLC
• Donta Radcliffe
• Bailey Nicole Radel

• Prosthodontics in Worthington, OH
• Providers in Worthington, OH by specialty
• Prosthodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.