Linh Truong Bradberry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN19050 Issued in FL

Practice address

10915 Baymeadows Rd Ste 106
Jacksonville, FL 32256-9131

Phone

(904) 619-6478

Fax

(904) 580-4262

NPI assigned

Aug 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Linh My Truong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Digital Aesthetic Dentistry

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1396553038
  NPD
• Point Meadows Dental Center, Inc.

  dba Bradberry Dental

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1205476496

  Single Specialty

  NPD

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1841505757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 TIMUQUANA RD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108174",
            "telephone_number": "904-993-6088",
            "fax_number": "904-993-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 BAYMEADOWS RD STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569131",
            "telephone_number": "904-619-6478",
            "fax_number": "904-580-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBERRY",
        "first_name": "LINH",
        "middle_name": "TRUONG",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "DN19050",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINH",
            "last_name": "TRUONG",
            "middle_name": "MY",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alorah Dane Bracken
• Dominic Jospeh Bracken, PHARMD
• Lacey Dennis Bracken, MS,LAT,ATC
• Timika Shenay Bracken, NP
• Rachel Brackenridge, LCSW
• Timothy Bradberry, DMD
• Jenna Taylor Braddock, RD, LDN
• Jessica Ann Braddock
• Kathryn Braddock, ARNP
• Matthew Todd Braddock, D.O.

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.