Bradley Nirenblatt, D.M.D., PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0400 Issued in SC

Legal business name

BRADLEY NIRENBLATT, D.M.D., PA

Practice address

2680 Elms Plantation Blvd
Suite 102
North Charleston, SC 29406-7101

Phone

(843) 572-1060

Fax

(843) 863-9735

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Bradley NirenblattNPI 1750570487

Title

President

Phone

(843) 572-1060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bradley Nirenblatt

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Charleston, SC
  • NPI 1750570487
  NPD (past) Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1861594640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 ELMS PLANTATION BLVD",
            "address_2": "SUITE 102",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067101",
            "telephone_number": "843-572-1060",
            "fax_number": "843-863-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 ELMS PLANTATION BLVD",
            "address_2": "SUITE 102",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067101",
            "telephone_number": "843-572-1060",
            "fax_number": "843-863-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY NIRENBLATT, D.M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "NIRENBLATT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-572-1060"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "0400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney L Bowden, RN, BSN
• Jori Grace Bowen, LPN
• Susan Dale Bowers
• Benjamin Bowman
• Courtney Bowman
• Lauren Brady, MD
• Margaret Stafford Brady, M.D.
• Sarah Braga-Guimaraes, MD
• Jennifer H Brangers, DPT
• Patricia Ann Brashear

• Orthodontics and Dentofacial Orthopedics Dentistry in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.