Individual provider Active NPI

Bradley S Alley, D.M.D.

  • Endodontics
  • Huntsville, AL
National Provider Identifier
1780819730
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5291 Issued in AL
Practice address
2410 L and N Dr SW
Suite B
Huntsville, AL 35801-5326
Phone
(256) 536-1116
Fax
(256) 539-5559
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5291 AL Primary

Addresses

Primary practice location

2410 L and N Dr SW
Suite B
Huntsville, AL 35801-5326

Mailing address

2410 L and N Dr SW
Suite B
Huntsville, AL 35801-5326
Phone (256) 536-1116

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161207000609 AL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5991085086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1780819730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 L AND N DR SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015326",
            "telephone_number": "256-536-1116",
            "fax_number": "256-539-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 L AND N DR SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015326",
            "telephone_number": "256-536-1116",
            "fax_number": "256-539-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "5291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.