Dr Benjamin Daniel Bradford, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Stateline, Nevada. His current practice location is
276 Kingsbury Grade # 101, Stateline, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 588-5000.
Dr Benjamin Daniel Bradford is licensed to practice in Nevada (license number 22619) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629336128.
Physician's Profile
| Full Name | Dr Benjamin Daniel Bradford |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 276 Kingsbury Grade # 101, Stateline, Nevada |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Benjamin Daniel Bradford attended and graduated from in
NPI Data:
- NPI Number: 1629336128
- Provider Enumeration Date: 05/03/2012
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Benjamin Daniel Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629336128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 22619 (Nevada) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | A126409 (California) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 286986 (New York) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 22619 (Nevada) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 22619 (Nevada) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 22619 (Nevada) | 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. Dr Benjamin Daniel Bradford 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 |
|---|
Dr Benjamin Daniel Bradford, MD
Po Box 5910,
Stateline, NV 89449-5910
Ph: (775) 588-5000 | Dr Benjamin Daniel Bradford, MD
276 Kingsbury Grade # 101,
Stateline, NV 89449-9804
Ph: (775) 588-5000 |
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