Bradley Chadwick Wood, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8778 Issued in CO

Practice address

916 S Main St
Suite 303
Longmont, CO 80501-6671

Phone

(303) 485-9123

Fax

(303) 485-9139

NPI assigned

Aug 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1922019298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 ADAMS AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272241",
            "telephone_number": "303-938-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 S MAIN ST",
            "address_2": "SUITE 303",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016671",
            "telephone_number": "303-485-9123",
            "fax_number": "303-485-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRADLEY",
        "middle_name": "CHADWICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01700723",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Wolfe
• Jane L Wolford, OD
• Hannah L Wolfson, LSW
• Brion Wollam, D.C.
• Women'S Health Wise
• Kaitlyn Wood, M.A., LPC
• Peter Wood, MD
• Edward Woodfin
• Amanda Grace Julie Woodle, M.A., CCC-SLP
• Adam Scott Woodruff, MS

• General Practice Dentistry in Longmont, CO
• Providers in Longmont, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.