Henry B. Bradford III, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401411181 Issued in VA

Practice address

19 Briar Knoll CT
Suite 5
Fishersville, VA 22939-2635

Phone

(540) 213-1966

Fax

(540) 213-1968

NPI assigned

Mar 11, 2007

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 VA

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

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.

• Bradford & Catchings Inc.

  • Dentist
  • Fishersville, VA
  • NPI 1720110265
  NPD (past) Authorized official

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1649302183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRIAR KNOLL CT",
            "address_2": "SUITE 5",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392635",
            "telephone_number": "540-213-1966",
            "fax_number": "540-213-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRIAR KNOLL CT",
            "address_2": "SUITE 5",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392635",
            "telephone_number": "540-213-1966",
            "fax_number": "540-213-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "HENRY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Elise Eaton Bowler
• Kara Bowman
• Amy Boyer, M.A., CCC-SLP
• Bradford & Catchings Inc.
• Carol Bradford, LPTA
• Glenn M Brammer, MD
• Matthew Todd Brandt, DDS MD
• Jack Louis Breaux III, M.D.
• Mary L Breister, O.T.
• Anne Brie, O.T.

• Dentist in Fishersville, VA
• Providers in Fishersville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.