Bradley J Burket, DMD, MD
Family Medicine in Bend, Oregon
1235165325- Practice location
- 2195 NE Professional CT, Ste 1, Bend, OR 97701-6028
- Phone
- 541-322-9396
- Fax
- 541-322-9398
- Last updated
- January 17, 2012
Bradley J Burket, DMD, MD is a Family Medicine based in Bend, OR. Bradley J Burket, DMD, MD holds the professional credentials of DMD, MD. The NPI number for Bradley J Burket, DMD, MD is 1235165325 and holds license No. D6600 (OR). The current practice location address is 2195 NE Professional CT, Ste 1, Bend, OR 97701-6028 and the office can be reached by phone at 541-322-9396 and by fax at 541-322-9398. The NPI was assigned on June 23, 2006 and the record was last updated in NPPES on January 17, 2012.
●Provider Profile Details
- NPI Number
- 1235165325
- Provider Name
- Bradley John Burket
- Credential
- DMD, MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Enumeration Date
- June 23, 2006
- Last Update Date
- January 17, 2012
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2195 NE Professional CT
Ste 1
Bend, OR 97701-6028 - City
- Bend
- State
- Oregon
- ZIP
- 97701-6028
- Country
- US
- Phone Number
- 541-322-9396
- Fax Number
- 541-322-9398
✉Business Mailing Address
- Address
- 2195 NE Professional CT
Ste 1
Bend, OR 97701-6028 - City
- Bend
- State
- OR
- ZIP
- 97701-6028
- Phone Number
- 541-322-9396
- Fax Number
- 541-322-9398
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist, General Practice | 1223G0001X | No | D6600 | OR |
| Family Medicine | 207Q00000X | Yes | MD19055 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Bradley J Burket, DMD, MD?
The NPI number of Bradley J Burket, DMD, MD is 1235165325. It was assigned on June 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Bradley J Burket, DMD, MD?
Bradley J Burket, DMD, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X) and holds license No. D6600 (OR).
Where does Bradley J Burket, DMD, MD practice?
The practice location is 2195 NE Professional CT, Ste 1, Bend, OR 97701-6028. The office can be reached at 541-322-9396 (phone) or 541-322-9398 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235165325 directly on the NPPES registry website at npiregistry.cms.hhs.gov.