Bradley Jesse Brown, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DS025807L Issued in PA

Practice address

101 5TH St
Ellwood City, PA 16117-2303

Phone

(724) 752-1506

Fax

(724) 752-2108

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

State licenses

Practice roles

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 J. Brown D.D.S.,P.C.

  • General Practice Dentistry
  • Ellwood City, PA
  • NPI 1053385625
  NPD (past) Authorized official

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1174597561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 5TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172303",
            "telephone_number": "724-752-1506",
            "fax_number": "724-752-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172303",
            "telephone_number": "724-752-1506",
            "fax_number": "724-752-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRADLEY",
        "middle_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025807L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025807L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "BR509853",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bollinger, LSW
• Alexis Boots, OTD, OTR/L
• Shane Tyler Boyd, CRNP
• Eileen Boyle, MD
• Bradley J. Brown D.D.S.,P.C.
• Chelsea R Brown, MS OTR/L, CLT
• Cristina Brown, PA-C
• Mary Bukowski
• Burk Physical Therapy and Rehabilitation
• Timothy Burk, P.T.

• Dentist in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.