Bradley Nirenblatt

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0400 Issued in SC

Practice address

2680 Elms Plantation Blvd
Suite 102
North Charleston, SC 29406-7101

Phone

(843) 572-1060

Fax

(843) 863-9735

NPI assigned

Oct 18, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bradley Nirenblatt, D.M.D., PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Charleston, SC
  • NPI 1861594640
  NPD (past) Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1750570487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 ELMS PLANTATION BLVD",
            "address_2": "SUITE 102",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067101",
            "telephone_number": "843-572-1060",
            "fax_number": "843-863-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 ELMS PLANTATION BLVD",
            "address_2": "SUITE 102",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067101",
            "telephone_number": "843-572-1060",
            "fax_number": "843-863-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRENBLATT",
        "first_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "0400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Nicklas, DDS
• Samuel Walker Nickles, M.D.
• Carrie S Niemann, D.D.S
• Jeffrey Gerard Nigro, LISW-CP
• Elizabeth Ninneman, DPT
• Nitesh Gandhi, LLC
• Dorian Nixon, MSW
• Brittany Nizzi, RN
• Noble Touch Home Care
• Gabrielle Noil, RBT

• Orthodontics and Dentofacial Orthopedics Dentistry in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.