Individual provider Active NPI

Bradley Hepler, D.D.S.

  • Dentist
  • Alpharetta, GA
National Provider Identifier
1356734479
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
GA12465 Issued in GA
Practice address
11190 Haynes Bridge Rd
Alpharetta, GA 30022
Phone
(866) 687-1992
Fax
(770) 992-8942
NPI assigned
Mar 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X GA12465 GA Primary

Addresses

Primary practice location

11190 Haynes Bridge Rd
Alpharetta, GA 30022

Mailing address

11190 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (866) 687-1992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150505002711 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567781081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GA12465GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley R Hepler DDS PC CurrentSince Feb 27, 2022 Accepting new patients

Locations

11190 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (866) 687-1992

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1356734479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 HAYNES BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "866-687-1992",
            "fax_number": "770-992-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 HAYNES BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "866-687-1992",
            "fax_number": "770-992-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPLER",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-13",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "GA12465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.