Bradley M Stewart, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3105-99 Issued in MS

Practice address

6855 Crumpler Blvd
Ste 100
Olive Branch, MS 38654-1938

Phone

(662) 893-5800

Fax

(662) 890-5614

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1366577504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 CRUMPLER BLVD",
            "address_2": "STE 100",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541938",
            "telephone_number": "662-893-5800",
            "fax_number": "662-890-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 CRUMPLER BLVD",
            "address_2": "STE 100",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541938",
            "telephone_number": "662-893-5800",
            "fax_number": "662-890-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRADLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3105-99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lee Steele, PHARMACIST
• Stephanie Harding, DDS of Mississippi II, PLLC
• Vernita Arnett Stephens
• Terrence Stephenson
• Austin Webber Steward, PT
• Terry Stubblefield, DMD
• Owen Stubbs
• Margie Pareja Suico, R.N.
• Kori Swearengen, FNP-BC
• Angelette Nichol Sykes, FNP

• General Practice Dentistry in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.