NPIMap

Organization Active NPI

Bruce R Bragdon DMD

  • General Practice Dentistry
  • Durham, NH
National Provider Identifier
1801931233
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1375 Issued in NH
Legal business name
BRUCE R BRAGDON DMD
Practice address
10 Mathes Ter
Durham, NH 03824-2302
Phone
(603) 868-5129
Fax
(603) 868-5142
NPI assigned
Feb 21, 2007
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Bruce R Bragdon, DMDNPI 1891737599
Title
Owner Dentist
Phone
(603) 868-5129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1375 NH Primary

Addresses

Primary practice location

10 Mathes Ter
Durham, NH 03824-2302

Mailing address

10 Mathes Ter
Durham, NH 03824-2302
Phone (603) 868-5129

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1801931233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MATHES TER",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038242302",
            "telephone_number": "603-868-5129",
            "fax_number": "603-868-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MATHES TER",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038242302",
            "telephone_number": "603-868-5129",
            "fax_number": "603-868-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R BRAGDON DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "BRAGDON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "603-868-5129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.