Bradley Phares, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901602855 Issued in MI

Practice address

1040 N 10TH St Ste 230
Kalamazoo, MI 49009-6150

Phone

(269) 372-6333

NPI assigned

Aug 28, 2016

Last updated

Aug 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kalamazoo Endodontics PLLC

  • Endodontics
  • Kalamazoo, MI
  • NPI 1497691109
  NPD Authorized official
• Nelson Nunez DMD LLC

  • General Practice Dentistry
  • Bossier City, LA
  • NPI 1598381469
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1568918837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N 10TH ST STE 230",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096150",
            "telephone_number": "269-372-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N 10TH ST STE 230",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096150",
            "telephone_number": "269-372-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARES",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901602855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Petts, M.A.,L.P.C.,L.L.P.
• Jillian Peyerk
• Michael Dominic Pezzillo, MD
• Patricia Ann Pfau, P.A.-C.
• Sara Paige Pfeil
• Phelps Partners, PC
• Paul Phelps Sr., MAR
• Shelly Marie Phelps, M.A. TLLP
• Jennifer Philburn, DO
• Mary Philipp, MA, LLP

• Endodontics in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.