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DR. BRADLEY DWIGHT LOGIE DDS
NPI 1073707519
Dentist - Oral and Maxillofacial Surgery in Fort Sill, OK

Active since August 28, 2007PECOS Enrolled
2776 RINGGOLD ROAD, ATTN: CREDENTIALS COORDINATOR, FORT SILL, OK 73503(580) 442-3905(580) 442-4002 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley Dwight Logie Dds NPPES

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

DR. BRADLEY DWIGHT LOGIE DDS (NPI 1073707519) is an individual oral and maxillofacial surgery provider in Fort Sill, Oklahoma, licensed in Michigan (L117008) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073707519
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRADLEY DWIGHT LOGIECredential: DDS
Location Address2776 RINGGOLD ROAD, ATTN: CREDENTIALS COORDINATORFort Sill, OK 73503-6300
Mailing AddressPo Box 268819Oklahoma City, OK 73126-8819 · (269) 556-9398 · Fax (269) 556-9488
Phone(580) 442-3905
Fax(580) 442-4002
Sole ProprietorYes
Enumeration DateAugust 28, 2007
Last NPPES UpdateJanuary 7, 2019
✔ NPI 1073707519 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 MI · L117008
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.
2776 RINGGOLD ROAD, Fort Sill, OK 73503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Dwight Logie 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 73503 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 2

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

DR. DENNIS JOHN ROBERTON DMD
Dentist (General Practice)
2776 RINGGOLD ROAD, USA DENTAL ACTIVITY
FT. SILL, OK 73503
Comanche County (580) 442-3905
DR. FREDIA RENAY FREEMAN DDS
Dentist
2776 RINGGOLD ROAD, USA DENTAC
FT. SILL, OK 73503
Comanche County (580) 442-3905

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 Logie's NPI number?

The NPI number for Bradley Logie is 1073707519. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Bradley Logie located?

Bradley Logie practices at 2776 Ringgold Road Attn: Credentials Coordinator, Fort Sill, OK 73503. The listed phone number is (580) 442-3905.

What is Bradley Logie's specialty?

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

Is Bradley Logie enrolled in Medicare?

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

What insurance does Bradley Logie accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Montana and 5 other insurers list Bradley Logie 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 Logie was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.