Bradley G Simister, D.D.S. M,S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6221248 Issued in UT

Practice address

1054 E Riverside Dr Ste 101
St George, UT 84790-4740

Phone

(435) 656-3346

Fax

(435) 656-9058

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386865459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 E RIVERSIDE DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904740",
            "telephone_number": "435-656-3346",
            "fax_number": "435-656-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 E RIVERSIDE DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904740",
            "telephone_number": "435-656-3346",
            "fax_number": "435-656-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMISTER",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S. M,S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "6221248",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-128C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Sifford
• Sig Corporation
• Carolyn Silva
• Florence Silva
• Trevor Simboli
• Brandon Jeffrey Simister, DDS
• Jeffrey R. Simister, D.D.S., M.S.D.
• Bobbi Lee Simkins
• Tayler Tiauna Simkins
• Robert Simmons

• Orthodontics and Dentofacial Orthopedics Dentistry in St George, UT
• Providers in St George, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.