Mr Bradley Allen Bader, DDS is a
Dentist - General Practice based in Tamms, Illinois. Mr Bradley Allen Bader is licensed to practice in Missouri (license number 14176) and his current practice location is
290 Railroad St, Tamms, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 253-8450.
NPI number for Mr Bradley Allen Bader is 1508986357 and his current mailing address is 290 Railroad St, Tamms, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508986357.
Healthcare Provider's Profile
Full Name | Mr Bradley Allen Bader |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 290 Railroad St, Tamms, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508986357
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 06/17/2020
Medical Identifiers
Medical identifiers for Mr Bradley Allen Bader such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508986357 | NPI | - | NPPES |
402035307 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 14176 (Missouri) | 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. Mr Bradley Allen Bader 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 |
Mr Bradley Allen Bader, DDS 290 Railroad St, Tamms, IL 62988-5038 Ph: (618) 747-2391 | Mr Bradley Allen Bader, DDS 290 Railroad St, Tamms, IL 62988-5038 Ph: (618) 253-8450 |
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