Brad J. Woodford, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN 4336 Issued in ME

Practice address

570 Stillwater Ave
Bangor, ME 04401-3522

Phone

(207) 945-6324

NPI assigned

Nov 30, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Bangor Braces PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bangor, ME
  • NPI 1851836001
  NPD (past) Authorized official

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1992040083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013522",
            "telephone_number": "207-945-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013522",
            "telephone_number": "207-945-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFORD",
        "first_name": "BRAD",
        "middle_name": "J.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ME",
            "license": "DEN 4336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Lynn Wood, CADC
• Jonathon P Wood, MD
• William Wood, M. D.
• Woodbrey Hand & Pediatric Therapy, Inc.
• Beth M Woodbrey-Johnson, OTR
• April Woodman, LMSW-CC
• Maegan L Woodman, FNPC
• Phillip Woodruff, MD
• Alicia Woodrum
• Ashley E. Woods, LCSW, CCS

• Orthodontics and Dentofacial Orthopedics Dentistry in Bangor, ME
• Providers in Bangor, ME by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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.