Bradley a. Eli Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BRADLEY A. ELI DENTAL CORPORATION

Practice address

5830 Oberlin Dr Ste 202
San Diego, CA 92121-3754

Phone

(844) 235-9881

Fax

(760) 436-5123

NPI assigned

May 24, 2023

Organization subpart

Yes

Parent organization

BRADLEY A. ELI DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Bradley Allen Eli, DND

Title

Ceo

Phone

(844) 235-9881

Specialties & licenses 2

Addresses

Part of

Bradley a Eli Dental Corp

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bradley a. Eli Dental Corporation

  • Orofacial Pain Dentistry
  • Vista, CA
  • NPI 1962533919
  NPPES parent name

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1427740794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213754",
            "telephone_number": "844-235-9881",
            "fax_number": "760-436-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213754",
            "telephone_number": "844-235-9881",
            "fax_number": "760-436-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY A. ELI DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRADLEY A. ELI DENTAL CORPORATION",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "ELI",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-235-9881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DND"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charelle Braden, DMD
• Elizabeth Bradford, CNM
• John Philip Bradford, DDS
• Madison Bradford
• Suzanne Marie Bradford, LAC
• Bradley B Bailey MD and Roger B Schechter MD Inc (Restorative Wound Healing and Hyperbaric Medical Group)
• Bradley L. Spitz, M.D. Inc
• Bradley M. Peterson, M.D., Inc.
• Brianna Bradley
• Christina Bradley

• Oral and Maxillofacial Surgery (Dentist) in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.