DR. LAURIE L BRADLEY DDS
NPI 1104914571
Dentist in San Antonio, TX

Q: What is Laurie Bradley's NPI number?

The NPI number for Laurie Bradley is 1104914571. It was assigned to this individual provider in the NPPES registry on October 11, 2006. The provider is also known as Laurie Ann Lovell.

Q: What is Laurie Bradley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Laurie Bradley enrolled in Medicare?

No. Laurie Bradley has opted out of Medicare through February 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Laurie Bradley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 11, 2006Opted out of Medicare · through Feb 25, 2028

7703 FLOYD CURL DR, SAN ANTONIO, TX 78229(210) 567-6405(210) 567-2844 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Laurie L Bradley Dds NPPES

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

DR. LAURIE L BRADLEY DDS (NPI 1104914571) is an individual dentist in San Antonio, Texas, licensed in Texas (16480) and active in the NPI registry since October 2006. She has opted out of Medicare through February 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104914571

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. LAURIE L BRADLEYCredential: DDS

Location Address7703 FLOYD CURL DRSan Antonio, TX 78229

Mailing AddressPo Box 40397San Antonio, TX 78229-3900 · (210) 567-6405 · Fax (210) 567-2844

Phone(210) 567-6405

Fax(210) 567-2844

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104914571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 16480

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7703 FLOYD CURL DR, San Antonio, TX 78229

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Other Names 1

Former Name (1)Laurie Ann Lovell

Other Identifiers 4

Medicare UPINU50291

Other834609Blue Cross Blue Shield

Medicare ID-Type Unspecified834609

Other976188United Concordia

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Laurie L Bradley Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 25, 2016 through February 25, 2028.

Opt-Out Effective DateFebruary 25, 2016

Opt-Out In Effect ThroughFebruary 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 20

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

DANIEL TRAVIS HART CRNA

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