NPIMap

Organization Active NPI

Bradford and Rowean DDS PC

  • Dentist
  • Portage, MI
National Provider Identifier
1205452562
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRADFORD AND ROWEAN DDS PC
Practice address
710 W Centre Ave
Portage, MI 49024-5310
Phone
(269) 323-3311
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Dr. James Bradford, DDSNPI 1356403836
Title
Owner/Vice-President
Phone
(269) 323-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

710 W Centre Ave
Portage, MI 49024-5310

Mailing address

710 W Centre Ave
Portage, MI 49024-5310
Phone (269) 323-3311

National Provider Directory

National Provider Directory

Locations

710 W Centre Ave
Portage, MI 49024
Phone (269) 323-3311

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1205452562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245310",
            "telephone_number": "269-323-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245310",
            "telephone_number": "269-323-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD AND ROWEAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/VICE-PRESIDENT",
        "authorized_official_telephone_number": "269-323-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.