DR. BRADLEY THAIN PORTER DDS
NPI 1023095734
Dentist - Oral and Maxillofacial Surgery in Mesa, AZ

Active since December 23, 2005PECOS Enrolled
6755 E SUPERSTITION SPRINGS BLVD, SUITE 103, MESA, AZ 85206(480) 830-5866(480) 807-0606 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bradley Thain Porter Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADLEY THAIN PORTER DDS (NPI 1023095734) is an individual oral and maxillofacial surgery provider in Mesa, Arizona, licensed in Arizona (4124) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Queen Creek.

NPPES Registry Identity

NPI1023095734
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRADLEY THAIN PORTERCredential: DDS
Location Address6755 E SUPERSTITION SPRINGS BLVD, SUITE 103Mesa, AZ 85206-4373
Mailing Address6755 E Superstition Springs Blvd, Suite 103Mesa, AZ 85206-4373 · (480) 830-5866 · Fax (480) 807-0606
Fax(480) 807-0606
Sole ProprietorNo
Enumeration DateDecember 23, 2005
Last NPPES UpdateDecember 4, 2018
NPI 1023095734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AZ · 4124
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

6755 E SUPERSTITION SPRINGS BLVD, Mesa, AZ 85206

Secondary Practice Location 1

Location 118610 E Rittenhouse Rd Ste 105Queen Creek, AZ 85142-4504 · Phone (480) 830-5866 · Fax (480) 807-0606

Other Identifiers 2

Medicaid2173766AZ
OtherAZ0482170AZ · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bradley Thain Porter Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
6755 E SUPERSTITION SPRINGS BLVD, STE 201
MESA, AZ 85206
Dentist (Periodontics)
6755 E SUPERSTITION SPRINGS BLVD, STE. 102
MESA, AZ 85206
Dentist
6755 E SUPERSTITION SPRINGS BLVD, SUITE #202
MESA, AZ 85206
Dentist (Orthodontics and Dentofacial Orthopedics)
6755 E SUPERSTITION SPRINGS BLVD, STE 201
MESA, AZ 85206
Dentist (General Practice)
6755 E SUPERSTITION SPRINGS BLVD, 203
MESA, AZ 85206
Dentist
6755 E SUPERSTITION SPRINGS BLVD, SUITE 203
MESA, AZ 85206
Dentist (General Practice)
6755 E SUPERSTITION SPRINGS BLVD, SUITE #202
MESA, AZ 85206
Dentist (Oral and Maxillofacial Surgery)
6755 E SUPERSTITION SPRINGS BLVD, SUITE 103
MESA, AZ 85206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Porter's NPI number?

The NPI number for Bradley Porter is 1023095734. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Bradley Porter located?

Bradley Porter practices at 6755 E Superstition Springs Blvd Suite 103, Mesa, AZ 85206. The listed phone number is (480) 830-5866.

What is Bradley Porter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bradley Porter enrolled in Medicare?

Yes. Bradley Porter is registered in the Medicare PECOS enrollment system.

What insurance does Bradley Porter accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Bradley Porter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Porter was last updated on December 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.