Timothy Allen Bradbury, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13843 Issued in TX

Practice address

210 Kingfisher Dr
Sugar Land, TX 77478-4710

Phone

(713) 826-2150

Fax

(281) 242-0994

NPI assigned

Aug 8, 2006

Last updated

Jan 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Smile Onsite Services PC

  • Dentist
  • Sugar Land, TX
  • NPI 1679962096
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1932119476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 KINGFISHER DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784710",
            "telephone_number": "713-826-2150",
            "fax_number": "281-242-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 KINGFISHER DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784710",
            "telephone_number": "713-826-2150",
            "fax_number": "281-242-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Kathleen Bowman, MSN, WHNP-BC
• Crecenra Flim Boyd
• Elizabeth Grace Boyd, DC
• Richard Wallace Boyd Jr., DDS MS
• Jasmine K Bracken
• Judy Michelle Bradicich, RD, CDCES
• Martin Van Court Bradley III, DDS
• Jessica Brady, MD
• Braesner Health Services, Inc (Braesner Home Health Services, Inc.)
• Brain Injury and Rehab Centers of Texas LLC (Spine and Joint Institute of Texas)

• General Practice Dentistry in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.