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BRADLEY A RANDOLPH D.D.S., NPI 1497757546

Dentist in BURLINGTON, IA

Last Updated on : Jul 08,2007

About BRADLEY A RANDOLPH (NPI 1497757546)


BRADLEY A RANDOLPH is a Dentist provider in BURLINGTON, United States. His medical specialization is Dentist with a focus in General Practice.

1497757546 is NPI number of BRADLEY A RANDOLPH.

BRADLEY A RANDOLPH's primary taxonomy code based on NPI Lookup is 1223G0001X with license number 07810. This taxonomy code refers to Dentist.

BRADLEY A RANDOLPH has more than 16 years of experience.

BRADLEY A RANDOLPH current practice location address is 320 N 3RD ST, BURLINGTON, IA. BRADLEY A RANDOLPH can be reached out via phone at 319-753-1600 and via fax at 319-752-9453 .

You can also correspond with BRADLEY A RANDOLPH through mail at mailing address 320 N 3RD ST, BURLINGTON, IA, United States. Mailing address contact number is 319-753-1600.

The enumeration date of BRADLEY A RANDOLPH is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1497757546 NPI Information

Name BRADLEY A RANDOLPH
National Provider Id (NPI) 1497757546
Entity Type Individual
Gender M
Credential D.D.S.
Practice Address 320 N 3RD ST, STE 711
BURLINGTON, IA, United States
Practice Telephone 319-753-1600
Practice Fax Number 319-752-9453
Mailing Address 320 N 3RD ST , STE 711
BURLINGTON, IA, United States
Mailing Telephone 319-753-1600
Mailing Fax Number 319-752-9453
Enumeration Date 01-Jun-2005
Last Updated Date 08-Jul-2007

BRADLEY A RANDOLPH (NPI 1497757546) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 1223G0001X Dentist, General Practice 07810 IA

BRADLEY A RANDOLPH (NPI 1497757546) Office Location

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1003951070 RACHEL IVKA MCARTHUR Audiologist 366 14TH ST,
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1740520642 KATHRYN HELEN DOBLER Registered Nurse 252 SOUTH 14TH ST.,
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1144350810 JASON WARD BARNES Chiropractor 227 S 14TH ST,
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1104958644 JULIE ANN HUDDLESTON Dental Hygienist PO BOX 94,
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FAQs

Whose NPI Number is 1497757546?

1497757546 is the NPI number of BRADLEY A RANDOLPH.

What is the specialty for BRADLEY A RANDOLPH?

The Specialty of BRADLEY A RANDOLPH is Dentist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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