Active NPI
Bradley K. Bartelli, DMD
- General Practice Dentistry
- Corpus Christi, TX
National Provider Identifier
1245306885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22773
- Practice address
- 6262 Weber Rd
Ste 120
Corpus Christi, TX 78413-4006 - Phone
- (361) 851-2828
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22773 | TX | Primary |
Addresses
Primary practice location
6262 Weber Rd
Ste 120
Corpus Christi, TX 78413-4006
Mailing address
6262 Weber Rd
Ste 120
Corpus Christi, TX 78413-4006
Phone (361) 851-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186353202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22773 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1245306885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6262 WEBER RD",
"address_2": "STE 120",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784134006",
"telephone_number": "361-851-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 WEBER RD",
"address_2": "STE 120",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784134006",
"telephone_number": "361-851-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTELLI",
"first_name": "BRADLEY",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186353202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.