Dr. Bradley Thorban Sanders, DMD, MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Salado, TX. Individual provider (NPI-1).
NPI number1134813363
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1134813363
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bradley Thorban Sanders
- Credential
- DMD, MSD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2023
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 41890 | TX | Yes |
Practice location
1010 Woodland Bend CirSalado, TX 76571-6438
Phone 803-920-7856
Mailing address
1010 Woodland Bend CirSalado, TX 76571-6438
Phone 803-920-7856
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Orthodontics and Dentofacial Orthopedics Dentistry providers in Salado · All 126 providers in Salado
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