Bradley Robert Burnett, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

2005005794 Issued in MO

Practice address

2819 E 29TH St Ste 1
Joplin, MO 64804-3270

Phone

(417) 621-0500

Fax

(417) 781-5809

NPI assigned

Dec 11, 2006

Last updated

Feb 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817
  Medicare reassignment NPD
• Burnett DDS Oral & Facial Surgery Center of Joplin, P.C.

  dba Oral & Facial Surgery Center of Joplin

  • Oral and Maxillofacial Surgery (Dentist)
  • Joplin, MO
  • NPI 1376592949
  Authorized official Same address or phone
• Joplin Surgical Arts, LLC

  • Ambulatory Surgical Clinic/Center
  • Joplin, MO
  • NPI 1790971976
  Authorized official Same address or phone
• Frank W. Shagets, Jr., M.D., P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Joplin, MO
  • NPI 1003076837
  NPD (past)
• Ozark Tri-County Health Care Consortium

  dba Access Family Care

  • Federally Qualified Health Center (FQHC)
  • Joplin, MO
  • NPI 1649837444
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1174683254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042549",
            "telephone_number": "417-621-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 E 29TH ST STE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043270",
            "telephone_number": "417-621-0500",
            "fax_number": "417-781-5809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667623022",
            "country_code": "US",
            "telephone_number": "620-670-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "BRADLEY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2005005794",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MO",
            "license": "2005005794",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MO",
            "license": "2005005794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA NON-PAR",
            "identifier": "1763846",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL PROVIDER #",
            "identifier": "005005794",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DENTAL PAR",
            "identifier": "200505794",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTION DENTAL NETWORK",
            "identifier": "1700470970",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Burch, PLP
• Julie A Burd, CRNA
• Thomas B. Burkhardt, M.D.
• Sondra J Burleson, CNM
• Burnett DDS Oral & Facial Surgery Center of Joplin, P.C. (Oral & Facial Surgery Center of Joplin)
• John Robert Burnett, DDS
• Cameron D Burns, PHARMD
• Hannah E. Burnside, RDN, LD
• Maegan Elise Burr, FNP-C
• Paige Diane Burress, FNP-C

• Oral & Maxillofacial Surgery (D.M.D.) in Joplin, MO
• Providers in Joplin, MO by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.