Barrett Bradford, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6098 Issued in AL

Practice address

420 S Market St
Scottsboro, AL 35768-1857

Phone

(256) 259-4411

NPI assigned

Jun 23, 2014

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 AL

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

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.

• Scottsboro Family and General Dentistry PC

  • Dental Clinic/Center
  • Scottsboro, AL
  • NPI 1083069579
  NPD (past) Authorized official
• Ronald E Jones DMD LLC

  • Dentist
  • Scottsboro, AL
  • NPI 1023446887
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1700291408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S MARKET ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357681857",
            "telephone_number": "256-259-4411",
            "fax_number": "256-574-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S MARKET ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357681857",
            "telephone_number": "256-259-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D6098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Leigh Bone, MS, RD, LD
• Kaitlin Bonner, SLP
• Sarah L Boxley, M.D.
• Ryan Wayne Brack, O.D.
• Bradford Family Healthcare PC
• Charles Raymond Bradford IV, M.D.
• Charles Raymond Bradford III, M.D.
• Rose Marie Bright, MSW, LICSW, PIP
• Kristen Buchanan, PT, DPT
• Clyde Wilson Butler, MS, CCC-SLP

• General Practice Dentistry in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.