Individual provider Active NPI

Bradley Andrew Smith, D.M.D.

  • Dentist
  • Marlton, NJ
National Provider Identifier
1255388252
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13196 Issued in NJ
Practice address
127 Church Rd
Suite 300
Marlton, NJ 08053-9402
Phone
(856) 983-0330
Fax
(856) 983-6992
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13196 NJ Primary

Addresses

Primary practice location

127 Church Rd
Suite 300
Marlton, NJ 08053-9402

Mailing address

127 Church Rd
Suite 300
Marlton, NJ 08053-9402
Phone (856) 983-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20150806009799 NJ Order and Referring Only - DentistPractitioner - Dentist 9830403732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13196NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255388252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CHURCH RD",
            "address_2": "SUITE 300",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539402",
            "telephone_number": "856-983-0330",
            "fax_number": "856-983-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CHURCH RD",
            "address_2": "SUITE 300",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539402",
            "telephone_number": "856-983-0330",
            "fax_number": "856-983-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "13196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.