NPIMap

Organization Active NPI

Bradley P Brown DDS PS

  • Endodontics
  • Kennewick, WA
National Provider Identifier
1841336153
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5156 Issued in WA
Legal business name
BRADLEY P BROWN DDS PS
Practice address
7409 W Grandridge Blvd
Kennewick, WA 99336
Phone
(509) 783-1335
Fax
(509) 783-1524
NPI assigned
Jan 30, 2007
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Dr. Bradley Page Brown, DDSNPI 1942591243
Title
President
Phone
(509) 783-1335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 5156 WA Primary

Addresses

Primary practice location

7409 W Grandridge Blvd
Kennewick, WA 99336

Mailing address

7409 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 783-1335

National Provider Directory

National Provider Directory

Locations

7409 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 783-1335

Practitioners & affiliated clinicians

Practitioners 4

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1841336153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 W GRANDRIDGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-783-1335",
            "fax_number": "509-783-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 W GRANDRIDGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-783-1335",
            "fax_number": "509-783-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY P BROWN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-783-1335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "5156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.