Bradley Ian Hersh, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS038015 Issued in PA

Practice address

909 Walnut St
3Rd Floor Cob
Philadelphia, PA 19107-5211

Phone

(215) 955-6215

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 PA

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

Specialty

Oral Surgery

Education

Univ of Pennsylvania School of Dental Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oral and Maxillofacial Surgical AssociatesGroup PAC ID 7012990807, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geisinger Medical Center Hospital, Danville, PA, CCN 390006

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oral & Maxillofacial Surgical Associates

  dba Commonwealth Oral and Facial Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansdale, PA
  • NPI 1518983121
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Geisinger Medical Center

  • Clinic/Center
  • Pottsville, PA
  • NPI 1003170937

  Hospital

  Care Compare affiliation
• Geisinger Medical Center

  dba Geisinger Medical Oncology Selinsgrove, a Service of GMC

  • General Acute Care Hospital
  • Danville, PA
  • NPI 1013384809
  Care Compare affiliation
• Geisinger Medical Center

  • General Acute Care Hospital
  • Coal Township, PA
  • NPI 1033491741
  Care Compare affiliation
• Geisinger Medical Center

  • Clinic/Center
  • Shamokin, PA
  • NPI 1063708501

  Hospital

  Care Compare affiliation
• Geisinger Medical Center

  • Clinic/Center
  • Danville, PA
  • NPI 1093555120

  Hospital

  Care Compare affiliation
• Geisinger Medical Center

  • Clinic/Center
  • Danville, PA
  • NPI 1104682061

  Hospital

  Care Compare affiliation
• Geisinger Medical Center

  • Psychiatric Hospital Unit
  • Danville, PA
  • NPI 1144301102
  Care Compare affiliation
• Geisinger Medical Center

  • General Acute Care Hospital
  • Lewisburg, PA
  • NPI 1154617694
  Care Compare affiliation
• Geisinger Medical Center

  • General Acute Care Hospital
  • Danville, PA
  • NPI 1235215427
  Care Compare affiliation
• Geisinger Medical Center

  • Clinic/Center
  • Elysburg, PA
  • NPI 1245632231

  Hospital

  Care Compare affiliation
• Geisinger Medical Center

  • General Acute Care Hospital
  • Danville, PA
  • NPI 1275832164
  Care Compare affiliation
• Geisinger Medical Center

  • General Acute Care Hospital
  • Selinsgrove, PA
  • NPI 1275850620
  Care Compare affiliation

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1710210133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 WALNUT ST",
            "address_2": "3RD FLOOR COB",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WALNUT ST",
            "address_2": "3RD FLOOR COB",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075211",
            "telephone_number": "215-955-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "BRADLEY",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS038015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Herron
• Laura Marie Herron, CRNP
• Meghan Herron
• Elizabeth Herrup, MD
• Amy Sarah Hersh, M.D.
• Lauren Rachel Hersh, M.D.
• Marc Alexandre Hersh
• Nathan Hersh
• Rebecca Hersh
• Heidi Anne Hershberger-Esh, CRNP

• Oral and Maxillofacial Surgery (Dentist) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.