Bradley Tayler Hammond, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6938 Issued in AZ

Practice address

16936 W Bell Rd Ste 203
Surprise, AZ 85374-8949

Phone

(623) 583-1875

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Plastic Surgeons of Northern Arizona, PLLC

  • Plastic Surgery Physician
  • Flagstaff, AZ
  • NPI 1154511814
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588680268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15566 N 177TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853883101",
            "telephone_number": "623-328-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16936 W BELL RD STE 203",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748949",
            "telephone_number": "623-583-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "BRADLEY",
        "middle_name": "TAYLER",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "6938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halo Community Services
• Aimee Halvorsen, RN CDE
• Madison Kay Ham
• Christopher Eric Hamilton, M.D.
• Maria Hamilton, PSY.D.
• Brooke Hampton, FNP-BC
• Stephanie Funmilayo Hancock, DNP, ARNP, PMHNP-BC
• Lilias Mary Handwerk, OT
• Valerie Hanna-Patenaude, LAC
• Martine Marie Hannallah, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.