Bradford Paul O'Brien, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007080 Issued in WA

Practice address

321 9TH St
Suite 105
Leavenworth, WA 98826-1464

Phone

(509) 548-5415

Fax

(509) 548-2434

NPI assigned

Dec 1, 2005

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

Other identifiers 3

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124002332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 9TH ST",
            "address_2": "SUITE 105",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261464",
            "telephone_number": "509-548-5415",
            "fax_number": "509-548-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 9TH ST",
            "address_2": "SUITE 105",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261464",
            "telephone_number": "509-548-5415",
            "fax_number": "509-548-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "BRADFORD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036371",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDS PROVIDER NUMBER",
            "identifier": "57080",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "LABOR AND INDUSTRIES",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Mullen, LMFT
• Lauren N Musick, PA-C
• Kerstin L Nash, LMP
• Rachel Nichols, MT
• Carrie Nunnally, RDH
• Burley James Packwood, M.D.
• Alexander William Pelman, PA-C
• Carol A. Pierce, M.D.
• Sarah Lenore Piestrup, FNP, LAC, DIPL OM
• Praxis Counseling, PLLC

• General Practice Dentistry in Leavenworth, WA
• Providers in Leavenworth, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.