Joseph Thomas Bradley, STUDENT

Primary specialty

DentistTaxonomy code 122300000X

License

063402 Issued in NY

Practice address

827 11TH Ave
New York, NY 10019-3535

Phone

(212) 369-5566

NPI assigned

Mar 29, 2022

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)

Not enrolled

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.

• Century Medical & Dental Center Inc

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1144399098

  Single Specialty

  NPD
• Niranjan K Mittal, Physician, PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1811939465

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1093455032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 11TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 11TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193535",
            "telephone_number": "212-369-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "063402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Marie Bradley, NCC
• Eleanor Bradley, CRNA
• Emily Bradley, LCAT
• Hannah Bradley, PSYD
• Ishmeal Earl Bradley, MD, MPH
• Katrina Suzanne Bradley, MD
• Lauren Bradley
• Lauren Nicole Bradley, LMSW, LSW
• Linda Joyce Bradley, CSW
• Mackenzie Anne Bradley, OD

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.