Individual provider Active NPI

Bradley Gene Delph, D.M.D.

  • General Practice Dentistry
  • West Point, VA
National Provider Identifier
1700086170
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411891 Issued in VA
Practice address
628 Main Street
West Point, VA 23181
Phone
(804) 843-3233
NPI assigned
Jul 23, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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 0401411891 VA Primary

Addresses

Primary practice location

628 Main Street
West Point, VA 23181

Mailing address

306 N 26TH St
Unit 220
Richmond, VA 23223-7264
Phone (201) 344-0587

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150709000412 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5991017667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401411891VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sam E English II DDS LTD 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1700086170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N 26TH ST",
            "address_2": "UNIT 220",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237264",
            "telephone_number": "201-344-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MAIN STREET",
            "city": "WEST POINT",
            "state": "VA",
            "postal_code": "23181",
            "telephone_number": "804-843-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPH",
        "first_name": "BRADLEY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, VA

Sources for this page

Verify at the official NPI Registry.