DR. BENJAMIN DANIEL BRADFORD M.D. NPI 1629336128

NPI Information

  • NPI: 1629336128
  • Provider Name: DR. BENJAMIN DANIEL BRADFORD, M.D.
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 276 KINGSBURY GRADE # 101
    STATELINE, NV
    ZIP 89449
  • Phone: (775) 588-5000

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NPI Details

DR. Benjamin Daniel Bradford, M.D. is a facial plastic surgery otolaryngology in Stateline, NV with 14 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Benjamin Daniel Bradford, M.D. NPI is 1629336128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

276 KINGSBURY GRADE # 101
STATELINE, NV
ZIP 89449-804
Phone: (775) 588-5000

The NPI 1629336128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/3/2012 and was last updated on 1/30/2023.

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
1207N00000XDermatology22619NEVADANo
2207YS0123XOtolaryngologyFacial Plastic SurgeryA126409CALIFORNIANo
3207YS0123XOtolaryngologyFacial Plastic Surgery286986NEW YORKNo
4207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck22619NEVADANo
52086S0122XSurgeryPlastic and Reconstructive Surgery22619NEVADANo
6207YS0123XOtolaryngologyFacial Plastic Surgery22619NEVADAYes

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: 11/21/2025

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