Ryan Bradley, DMD in Bentonville, AR - Medicare Dentist Provider

Ryan Bradley, DMD is a medicare enrolled "Dentist" provider in Bentonville, Arkansas. His current practice location is 104 S Walton Blvd, Bentonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 273-3757.

Ryan Bradley is licensed to practice in Arkansas (license number 4464) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831641877.

Contact Information

	Ryan Bradley, DMD
	104 S Walton Blvd, Bentonville, AR 72712-5747
	(479) 273-3757
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Bradley
Gender	Male
Speciality	Dentist
Location	104 S Walton Blvd, Bentonville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831641877
Provider Enumeration Date: 10/25/2016
Last Update Date: 12/31/2020

Medicare PECOS Information:

PECOS PAC ID: 0648551929
Enrollment ID: I20161228000515

Medical Identifiers

Medical identifiers for Ryan Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831641877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	32495 (Texas)	Secondary
122300000X	Dentist	4464 (Arkansas)	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. Ryan Bradley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ryan Bradley, DMD 1201 Sw Willow Bend Ave, Bentonville, AR 72713-7977 Ph: (630) 696-0000	Ryan Bradley, DMD 104 S Walton Blvd, Bentonville, AR 72712-5747 Ph: (479) 273-3757

Reviews and Comments

Dentist in Bentonville, AR

Dr. Jeffrey A. Evans, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 306 Ne Blake St Ste 1, Bentonville, AR 72712 Phone: 479-273-7993 Fax: 479-273-3158
Dr. Douglas D Rinehart, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 911 N Walton Blvd, Ste. B, Bentonville, AR 72712 Phone: 479-464-7500
Dr. Sydney Brooke Henderson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 312 S Main St, Bentonville, AR 72712 Phone: 479-254-6899 Fax: 479-254-6899
Thomas M Holman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1510 Se 14th St, Bentonville, AR 72712 Phone: 479-271-2299 Fax: 479-271-6419
Dr. Robert Edward Adair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1616 Bella Vista Rd, Bentonville, AR 72712 Phone: 479-273-3306 Fax: 479-273-3835
Rosemary Pelphrey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Sw Ramsey Ln, Bentonville, AR 72712 Phone: 806-778-6869
Andrew Trevor Ricketts, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 104 S Walton Blvd, Bentonville, AR 72712 Phone: 479-273-3757 Fax: 479-755-3201

Ryan Bradley, DMD - Medicare Dentist in Bentonville, AR