Rebecca Bradley, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REBECCA BRADLEY, DDS, PLLC

Doing business as

QC South Dentistry

Practice address

11210 Golf Links Drive North
Suite 201
Charlotte, NC 28277

Phone

(704) 909-2366

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Bradley, DDSNPI 1164934691

Title

Doctor/Owner

Phone

(704) 909-2366

Specialties & licenses 1

Addresses

Other names 1

• QC South Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca B Bradley, DDS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1164934691
  NPD Authorized official

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1306566963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 WINDYRUSH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267556",
            "telephone_number": "423-306-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 GOLF LINKS DRIVE NORTH",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-909-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA BRADLEY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "704-909-2366",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QC South Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reassurance Home Health Aide
• Reassurance Home Health Care
• Elizabeth Renee Reaves
• Lalani Reaves, LMFT
• Tara Reaves, SLP
• Rebel Health Worldwide
• Bridget Diane Rebello, MSW, LCSW
• Rachel H. Rebich, MS, LCSW
• Rebound Health & Performance
• Daniela Recabarren, PH.D., LP

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.