Patrick Bradley, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE 60378580 Issued in WA

Legal business name

PATRICK BRADLEY, DDS, PLLC

Doing business as

Spokane Pediatric Dental

Practice address

6821 N Country Homes Blvd
Suite 201
Spokane, WA 99208-4372

Phone

(509) 315-3200

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Connor Bradley, DDSNPI 1568759694

Title

Dentist/Owner

Phone

(509) 315-3200

Specialties & licenses 1

Addresses

Other names 1

• Spokane Pediatric Dental Doing business as

Practitioners 1

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

• Patrick Connor Bradley, D.D.S

  • Dentist
  • Spokane, WA
  • NPI 1568759694
  NPD (past) Authorized official

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1952733800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD",
            "address_2": "SUITE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084372",
            "telephone_number": "509-315-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 N COUNTRY HOMES BLVD",
            "address_2": "SUITE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084372",
            "telephone_number": "509-315-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK BRADLEY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "CONNOR",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "509-315-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE 60378580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pathology Associates Medical Laboratories LLC
• Pathology Services PS
• Pathway to Wellness, PLLC
• Pathwise Psychology PLLC
• Coy Patras
• Patrick Counseling PLLC
• Julie Patrick, ARNP
• Todd William Patrick, LMHC
• Barbara Luane Patrone
• Britany Michelle Patsfield

• Dental Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.