Bradley Paul Storrs, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2015020280 Issued in MO

Practice address

6837 Normandy Rd BLDG B
Attn: Charles Bernatovitz
Fort Bragg, NC 28310-0001

Phone

(910) 643-2196

NPI assigned

Aug 17, 2015

Last updated

May 19, 2020By the provider in NPPES

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 IN, KY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bradley.storrs@direct.myhealthep.org

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1801262530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 LONDON DR",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283071913",
            "telephone_number": "720-233-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6837 NORMANDY RD BLDG B",
            "address_2": "ATTN: CHARLES BERNATOVITZ",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-643-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORRS",
        "first_name": "BRADLEY",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2015020280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Elaine Stewart, LCSW, CAP
• Kimberly Nichole Stikeleather, MS, RD, LDN
• Hamilton Stockton IV, ATC
• Robert L Stonerock, DDS
• Amanda Therese Mocarski Storey, OTR/L
• Jerry Boyd Stover, FNP
• Kenneth J Stransky, MD
• Michael Eugene Street, PT, DPT
• Samantha Streich, DO
• Karen Sachiko Strenge, MD

• Oral and Maxillofacial Surgery (Dentist) in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.