Brian Andrew Bradley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN30657 Issued in FL

Practice address

7770 Sightseeing Rd BLDG 2828
Fort Benning, GA 31905-3764

Phone

(706) 545-2901

NPI assigned

Jul 8, 2025

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2025.

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1336039551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SW 49TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339147123",
            "telephone_number": "484-889-2674",
            "fax_number": "484-889-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 SIGHTSEEING RD BLDG 2828",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319053764",
            "telephone_number": "706-545-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "BRIAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN30657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cattleya Marie Born, RNC
• Sarah Grace Bornstein
• Michael Anthony Borsuk, DO
• Joshua Boswell, PSYD
• Fletcher Maurice Boulware Jr., MD
• Amber Brandt, RPH
• Pamela Sue Brandt, NP
• Shanley Lauren Brasher, DNP, APRN, FNP-C
• Alexander Lloyd Britton, DO
• Jordan E Broaddus, DMD

• All providers in Fort Benning, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.