Dr Bradford Paul O'brien, DDS is a
Dentist - General Practice based in Leavenworth, Washington. Dr Bradford Paul O'brien is licensed to practice in Washington (license number DE00007080) and his current practice location is
321 9th St, Suite 105, Leavenworth, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 548-5415.
NPI number for Dr Bradford Paul O'brien is 1124002332 and his current mailing address is 321 9th St, Suite 105, Leavenworth, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124002332.
Healthcare Provider's Profile
| Full Name | Dr Bradford Paul O'brien |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 321 9th St, Leavenworth, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124002332
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Bradford Paul O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124002332 | NPI | - | NPPES |
| 5036371 | Medicaid | WA | |
| 57080 | Other | VA | WDS PROVIDER NUMBER |
| LABOR AND INDUSTRIES | Other | WA | L&I |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DE00007080 (Washington) | Primary |
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. Dr Bradford Paul O'brien is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bradford Paul O'brien, DDS
321 9th St, Suite 105,
Leavenworth, WA 98826-1464
Ph: (509) 548-5415 | Dr Bradford Paul O'brien, DDS
321 9th St, Suite 105,
Leavenworth, WA 98826-1464
Ph: (509) 548-5415 |
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