DR. GEORGE M BRADFORD D.M.D. NPI 1174624506

NPI Information

NPI: 1174624506
Provider Name: DR. GEORGE M BRADFORD, D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
5741 CARMICHAEL PKWY
MONTGOMERY, AL
ZIP 36117
Phone: (334) 277-3492
Get Directions

DR. George M Bradford, D.M.D. is an oral and maxillofacial surgery dentist in Montgomery, AL. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. George M Bradford, D.M.D. NPI is 1174624506. 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:

5741 CARMICHAEL PKWY
MONTGOMERY, AL
ZIP 36117-340
Phone: (334) 277-3492
Fax: (334) 277-9432

The enumeration date for this NPI number is 9/26/2006 and was last updated on 6/30/2010.

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	3150	ALABAMA	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	Other Provider Identifier Issuer
1	51090657	OTHER	ALABAMA	BCBS OF ALABAMA
2	51047565	OTHER	ALABAMA	BCBS OF ALABAMA
3	009983310	MEDICAID	ALABAMA
4	009910120	MEDICAID	ALABAMA
5	000090657	MEDICARE PIN	ALABAMA
6	650035	OTHER	ALABAMA	UNITED CONCORDIA
7	51549612	OTHER	ALABAMA	BCBS OF ALABAMA
8	51005719	OTHER	ALABAMA	BCBS AL
9	511-05901	OTHER	ALABAMA	BC/BC OF ALABAMA
10	T68654	MEDICARE UPIN	ALABAMA
11	000090657	MEDICAID	ALABAMA

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: 4/28/2024

NPI Synchronization or Removal

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