Bradley P McPhee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5600 Issued in WA

Practice address

7120 40TH St W
#B
Univeristy Place, WA 98466

Phone

(253) 565-4312

Fax

(253) 565-9925

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• University Place Dental Clinic

  • General Practice Dentistry
  • University Place, WA
  • NPI 1053636233
  Authorized official Same address or phone

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821193301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 40TH ST W",
            "address_2": "#B",
            "city": "UNIVERISTY PLACE",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-565-4312",
            "fax_number": "253-565-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 40TH ST W",
            "address_2": "#B",
            "city": "UNIVERISTY PLACE",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-565-4312",
            "fax_number": "253-565-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHEE",
        "first_name": "BRADLEY",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.