Brad L. Bauer, DMD, PA, Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30022050 Issued in OH

Legal business name

BRAD L. BAUER, DMD, PA, INC

Practice address

8096 East Market Street
Warren, OH 44484

Phone

(330) 856-5711

Fax

(330) 856-7685

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brad Louden Bauer, DMDNPI 1184709354

Title

President

Phone

(330) 856-5711

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brad Louden Bauer, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Warren, OH
  • NPI 1184709354
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689779605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 EAST MARKET STREET",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44484",
            "telephone_number": "330-856-5711",
            "fax_number": "330-856-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 EAST MARKET STREET",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44484",
            "telephone_number": "330-856-5711",
            "fax_number": "330-856-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD L. BAUER, DMD, PA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "LOUDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-856-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30022050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane E Boutwell, LSW,LPCC
• Dandre Latief Bowers
• Tosha C Bowers
• Rebecca Bowman
• Miranda Boyle
• Tabitha Brainard
• Modena Brantley
• Tanika M Breckenridge
• April Marie Brenkert
• Gregory Allen Bresnahan, CNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Warren, OH
• Providers in Warren, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• 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.