Bradley Wayne Carpenter, DMD is a
Dentist - General Practice based in Clacamas, Oregon. Bradley Wayne Carpenter is licensed to practice in Oregon (license number D5494) and his current practice location is
15480 Se 82nd Dr, Clacamas, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 655-7250.
NPI number for Bradley Wayne Carpenter is 1912271164 and his current mailing address is Po Box 446, Clackamas, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912271164.
Healthcare Provider's Profile
Full Name | Bradley Wayne Carpenter |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 15480 Se 82nd Dr, Clacamas, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912271164
- Provider Enumeration Date: 03/06/2012
- Last Update Date: 03/06/2012
Medical Identifiers
Medical identifiers for Bradley Wayne Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912271164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D5494 (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 Wayne Carpenter 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 Wayne Carpenter, DMD Po Box 446, Clackamas, OR 97015-0446 Ph: (503) 655-7250 | Bradley Wayne Carpenter, DMD 15480 Se 82nd Dr, Clacamas, OR 97015 Ph: (503) 655-7250 |
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