Bradley G Angell, DMD, Ms

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4934 Issued in KY

Legal business name

BRADLEY G ANGELL, DMD, MS

Practice address

10412 Shelbyville Rd
Louisville, KY 40223-3120

Phone

(502) 425-3350

Fax

(502) 425-3789

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley G Angell, DMD, MSNPI 1639244619

Title

Owner

Phone

(502) 425-3350

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley G Angell, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Louisville, KY
  • NPI 1639244619
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619045739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233120",
            "telephone_number": "502-425-3350",
            "fax_number": "502-425-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233120",
            "telephone_number": "502-425-3350",
            "fax_number": "502-425-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY G ANGELL, DMD, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-425-3350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "4934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "506626",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "1695639",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradbury Early Intervention, PLLC
• Brittany Lee Braden, MSW, CSW
• Buddy T Braden, LPCC
• William R Bradford, MD
• William Robert Bradford
• Bradley R. Harmon, DDS, PLC (Harmon Dental Center at Lake Forest)
• Bradley Recovery Center
• Jaime Michelle Bradley-Miller, DNP
• Alexander Bradley, PT, DPT
• Alicia Elisabeth Bradley, APRN

• Orthodontics and Dentofacial Orthopedics Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.