- Practice location
- 80 NE Bend River Mall Drive, Bend, OR 97703-7528
- Phone
- 541-647-5555
- Fax
- —
- Last updated
- September 26, 2025
Emily K Bradshaw is a Dentist, General Practice based in Bend, OR. Emily K Bradshaw practices in Bend, OR and has the professional credentials of DMD. The NPI Number for Emily K Bradshaw is 1528636024 and holds a License No. D11620 (OR). The current practice location address for Emily K Bradshaw is 80 NE Bend River Mall Drive, Bend, OR 97703-7528 and can be reached out via phone at 541-647-5555.
Provider Profile Details
- NPI Number
- 1528636024
- Provider Name
- Emily K Bradshaw
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 80 NE Bend River Mall Drive, Bend, OR 97703-7528
- Phone Number
- 541-647-5555
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 12, 2021
- Last Update Date
- September 26, 2025
- Certification Date
- September 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 NE Bend River Mall Drive
Bend, OR 97703-7528 - City
- Bend
- State
- Oregon
- Zip
- 97703-7528
- Phone Number
- 541-647-5555
Provider Business Mailing Address Details
- Address
- 21288 SE Daylily Ave
Bend, OR 97702-8829 - City
- Bend
- State
- OR
- Zip
- 97702-8829
License Information
- License Number (1)
- D11620
- License State (1)
- OR
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X · Primary
- License Number (2)
- RES.004379
- License State (2)
- OH
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Bend, OR
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- Blake Drew DMD, PCDentist, General Practice · NPI 1295247674
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Frequently Asked Questions
What is the NPI number of Dr. Emily K Bradshaw, DMD?
The NPI number of Dr. Emily K Bradshaw, DMD is 1528636024. It was assigned on June 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Emily K Bradshaw, DMD?
Dr. Emily K Bradshaw, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D11620.
Where does Dr. Emily K Bradshaw, DMD practice?
The practice location is 80 NE Bend River Mall Drive, Bend, OR 97703-7528. The office can be reached at 541-647-5555 (phone).
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 1528636024 directly on the NPPES registry website.