Bradley David Kirkpatrick

Primary specialty

DentistTaxonomy code 122300000X

License

D6942C1 Issued in AL

Practice address

1700 6TH Ave N
Bessemer, AL 35020-4849

Phone

(205) 434-2031

NPI assigned

Jul 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mission Dental Mobile LLC

  dba Miles of Smiles

  • Dentist
  • Bessemer, AL
  • NPI 1205694932
  NPD

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1518691336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 INDIAN VALLEY RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352442254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204849",
            "telephone_number": "205-434-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "BRADLEY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D00006942C1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D6942C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Foundry",
            "affiliation": "N",
            "endpointDescription": "Dental Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1700 6th Ave N",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350204849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nolan Christian Kemp, DDS
• King Dental Services, LLC
• Polly A King
• Tara King, LMSW
• Alyssa Paige Kirkley, RN
• Caroline Thomas Kirkpatrick, RD, LD
• Sarah Klinger, LICSW
• Lakisha C. Knight, CRNP , RN
• Katelyn Koski, CRNP
• Erik Joseph Kouba, M.D.

• Dentist in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.