MR. BRADLEY STEPHEN ROBERTS DDS
NPI 1104063460
Dentist - General Practice in Las Vegas, NV

Q: What is Bradley Roberts's NPI number?

The NPI number for Bradley Roberts is 1104063460. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Q: What is Bradley Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Roberts was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 08, 2009PECOS Enrolled

3047 E. WARM SPRINGS ROAD, #200, LAS VEGAS, NV 89120(702) 454-8773(702) 454-8267 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Bradley Stephen Roberts Dds NPPES

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

MR. BRADLEY STEPHEN ROBERTS DDS (NPI 1104063460) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (2108) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104063460

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. BRADLEY STEPHEN ROBERTSCredential: DDS

Location Address3047 E. WARM SPRINGS ROAD, #200Las Vegas, NV 89120

Mailing Address3047 E. Warm Springs Rd, #200Las Vegas, NV 89120 · (702) 454-8773 · Fax (702) 454-8267

Phone(702) 454-8773

Fax(702) 454-8267

Sole ProprietorYes

Enumeration DateJanuary 8, 2009

✔ NPI 1104063460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NV · 2108

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3047 E. WARM SPRINGS ROAD, Las Vegas, NV 89120

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Bradley Stephen Roberts 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 89120 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

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 Roberts's NPI number?

The NPI number for Bradley Roberts is 1104063460. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is Bradley Roberts located?

Bradley Roberts practices at 3047 E. Warm Springs Road #200, Las Vegas, NV 89120. The listed phone number is (702) 454-8773.

What is Bradley Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bradley Roberts enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bradley Roberts was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.