Individual provider Active NPI

Bradley G Shern, D.M.D.

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1679533814
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00007294 Issued in WA
Practice address
2807 S Stone St
#201
Spokane, WA 99223-4904
Phone
(509) 838-6261
Fax
(509) 838-4482
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00007294 WA Primary

Addresses

Primary practice location

2807 S Stone St
#201
Spokane, WA 99223-4904

Mailing address

2807 S Stone
#201
Spokane, WA 99223-4904
Phone (509) 838-6261

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

LicenseStateTypeSpecialty
DE00007294WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley G Shern, DMD General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679533814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 S STONE",
            "address_2": "#201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234904",
            "telephone_number": "509-838-6261",
            "fax_number": "509-838-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 S STONE ST",
            "address_2": "#201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234904",
            "telephone_number": "509-838-6261",
            "fax_number": "509-838-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERN",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.