Brad Pitts DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3777 Issued in SC

Legal business name

BRAD PITTS DMD LLC

Practice address

117 Old Chapin Rd
Lexington, SC 29072-2005

Phone

(803) 808-1778

Fax

(803) 808-1821

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Reeder Pitts, DMDNPI 1770643082

Title

Dentist

Phone

(803) 808-1778

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Reeder Pitts, D.M.D.

  • General Practice Dentistry
  • Lexington, SC
  • NPI 1770643082
  NPD (past) Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1811186240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 OLD CHAPIN RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722005",
            "telephone_number": "803-808-1778",
            "fax_number": "803-808-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 OLD CHAPIN RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722005",
            "telephone_number": "803-808-1778",
            "fax_number": "803-808-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD PITTS DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "REEDER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-808-1778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9591",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie J Boyer, MD
• Sydney Marie Boykin, MD
• Gabriela Maria Boyko, BA
• Portia Debrelle Boyles, BSN, RN
• Bracing Mascetomy and Orthotics Inc
• Laurel Bradham
• Valerie Suzanne Bradley, FNP-BC
• Rebecca Cooper Bragdon, MSP, CCC-SLP
• Cameryn Alisa Brand, OT
• Margaret Ann Brandon, RN

• General Practice Dentistry in Lexington, SC
• Providers in Lexington, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.