Dr. Richard S Bradway, D.D.S.
Dentist in Vineland, NJ. Individual provider (NPI-1).
NPI number1962797472
StatusActive
Last updated in NPPESJun 13, 2011
Details
- NPI
- 1962797472
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard S Bradway
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2011
- Last updated
- Jun 13, 2011
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 |
|---|---|---|---|---|
| 122300000X | Dentist | DI9209 | NJ | Yes |
Practice location
1175 Karin StVineland, NJ 08360-4208
Phone 856-691-0985 · Fax 856-691-3003
Mailing address
1175 Karin StVineland, NJ 08360-4208
Phone 856-691-0985 · Fax 856-691-3003
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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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