Bradley John Burket, DMD,MD is a
Family Medicine based in Bend, Oregon. Bradley John Burket is licensed to practice in Oregon (license number MD19055) and his current practice location is
2195 Ne Professional Ct, Ste 1, Bend, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 322-9396.
NPI number for Bradley John Burket is 1235165325 and his current mailing address is 2195 Ne Professional Ct, Ste 1, Bend, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235165325.
Healthcare Provider's Profile
| Full Name | Bradley John Burket |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 2195 Ne Professional Ct, Bend, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1235165325
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 01/17/2012
Medical Identifiers
Medical identifiers for Bradley John Burket such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235165325 | NPI | - | NPPES |
| 1156820001 | Other | OR | CIGNA |
| 002955000 | Other | OR | BCBS |
| 100117 | Other | OR | COIHS |
| 080507 | Medicaid | OR | |
| 7608077 | Other | OR | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D6600 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | MD19055 (Oregon) | 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. Bradley John Burket 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 |
|---|
Bradley John Burket, DMD,MD
2195 Ne Professional Ct, Ste 1,
Bend, OR 97701-6028
Ph: (541) 322-9396 | Bradley John Burket, DMD,MD
2195 Ne Professional Ct, Ste 1,
Bend, OR 97701-6028
Ph: (541) 322-9396 |
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