JON P BRADRICK DDS NPI 1477581908

NPI Information

NPI: 1477581908
Provider Name: JON P BRADRICK, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2500 METROHEALTH DR
MHMC-SURGERY/ORAL & MAX
CLEVELAND, OH
ZIP 44109
Phone: (216) 778-4488
Get Directions

Jon P Bradrick, DDS is an oral and maxillofacial surgery dentist in Cleveland, OH. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Jon P Bradrick, DDS NPI is 1477581908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 METROHEALTH DR
MHMC-SURGERY/ORAL & MAX
CLEVELAND, OH
ZIP 44109-900
Phone: (216) 778-4488

The enumeration date for this NPI number is 6/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	TX 19114	TEXAS	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	30018571	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	T48623	MEDICARE UPIN	OHIO
2	0696528	MEDICAID	OHIO
3	BR7274421	MEDICARE ID-TYPE UNSPECIFIED	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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