Dr. Brad L. Cottle, DMD
Dentist in Mesa, AZ. Individual provider (NPI-1).
NPI number1154533016
StatusActive
Last updated in NPPESNov 30, 2018
Details
- NPI
- 1154533016
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brad L. Cottle
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2007
- Last updated
- Nov 30, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 |
|---|---|---|---|---|
| 122300000X | Dentist | D6088 | AZ | Yes |
Practice location
2346 E Brown RdMesa, AZ 85213
Phone 480-969-3069 · Fax 480-969-3419
Mailing address
2346 E. Brown RoadMesa, AZ 85213
Phone 480-988-7025 · Fax 480-969-3419
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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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