Active NPI
Bradley Alan Schmidt, DMD
- General Practice Dentistry
- Minot AFB, ND
National Provider Identifier
1558081513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13705
- Practice address
- 10 Missile Ave
Minot AFB, ND 58705-5003 - Phone
- (701) 723-5564
- NPI assigned
- Aug 30, 2022
- Last updated
- Aug 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13705 | NC | Primary |
Addresses
Primary practice location
10 Missile Ave
Minot AFB, ND 58705-5003
Mailing address
10 Missile Ave
Minot AFB, ND 58705-5003
Phone (828) 974-6187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13705 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1558081513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MISSILE AVE",
"city": "MINOT AFB",
"state": "ND",
"postal_code": "587055003",
"telephone_number": "828-974-6187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MISSILE AVE",
"city": "MINOT AFB",
"state": "ND",
"postal_code": "587055003",
"telephone_number": "701-723-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "BRADLEY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "13705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minot AFB, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.