Alijah Bradley, DDS in Tamarac, FL - Medicare Dentist Provider

Alijah Bradley, DDS is a medicare enrolled "Dentist - General Practice" provider in Tamarac, Florida. His current practice location is 4267 W Commercial Blvd, Tamarac, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 677-3202.

Alijah Bradley is licensed to practice in Florida (license number DN 20845) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003224148.

Contact Information

	Alijah Bradley, DDS
	4267 W Commercial Blvd, Tamarac, FL 33319-3305
	(954) 677-3202
	(954) 677-3201

Map and Direction

Healthcare Provider's Profile

Full Name	Alijah Bradley
Gender	Male
Speciality	Dentist - General Practice
Location	4267 W Commercial Blvd, Tamarac, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003224148
Provider Enumeration Date: 07/31/2014
Last Update Date: 10/29/2014

Medicare PECOS Information:

PECOS PAC ID: 7911322375
Enrollment ID: I20200731001732

Medical Identifiers

Medical identifiers for Alijah Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003224148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DN 20845 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alijah Bradley allows following entities to bill medicare on his behalf.

Entity Name	Bonita Dental Care, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508101726 PECOS PAC ID: 3173948635 Enrollment ID: O20200731001328

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alijah Bradley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alijah Bradley, DDS 19255 Ne 10th Ave Apt 225, Miami, FL 33179-5936 Ph: (734) 904-4589	Alijah Bradley, DDS 4267 W Commercial Blvd, Tamarac, FL 33319-3305 Ph: (954) 677-3202

Reviews and Comments

Dentist in Tamarac, FL

Dr. Monica Adriana Dulcey, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9920 Nw 68th Pl, 205, Tamarac, FL 33321 Phone: 954-461-5864
Thomas R O'neil, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7707 N University Dr, Suite 201, Tamarac, FL 33321 Phone: 954-720-9570
Dr. Scott H Klareich, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8197 N University Dr Ste 1, Tamarac, FL 33321 Phone: 954-720-0006 Fax: 954-720-1502
Stephen Criscuolo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 8311 N Pine Island Rd, Tamarac, FL 33321 Phone: 954-228-7284 Fax: 954-314-0575
Dr. Zakiya Abdullah, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6702 N University Dr, Tamarac, FL 33321 Phone: 954-722-7711
Dr. William Mathurin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7351 W Oakland Park Blvd Ste 102, Tamarac, FL 33319 Phone: 954-742-5055

Alijah Bradley, DDS - Medicare Dentist in Tamarac, FL