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BRADFORD JOHNSON DDS
NPI 1164644647
Dentist - Endodontics in Chicago, IL

Active since May 03, 2007PECOS Enrolled
801 S PAULINA ST, MC 621, CHICAGO, IL 60612(312) 355-1661(312) 355-3864 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradford Johnson Dds NPPES

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

BRADFORD JOHNSON DDS (NPI 1164644647) is an individual endodontics provider in Chicago, Illinois and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164644647
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameBRADFORD JOHNSONCredential: DDS
Location Address801 S PAULINA ST, MC 621Chicago, IL 60612-7210
Mailing Address801 S Paulina St, Mc 621Chicago, IL 60612-7210 · (312) 355-1661 · Fax (312) 355-3864
Phone(312) 355-1661
Fax(312) 355-3864
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164644647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
801 S PAULINA ST, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Bradford Johnson 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 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

KENNETH GEHRKE DDS
Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Cook County (312) 355-1661
DR. NATHANIEL DANCYKIER D.D.S.
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-8925
PAULINE PHAM DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-1222
DR. RACHEL LYN DZIUBA DMD
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555
DR. MARY ROMAN DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7514
ANDREA E REALE REYES
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-9158
RUBA HALASA
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-2669
AMANDA BEATRIZ RODRIGUEZ BETANCOURT DDS
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555

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 Bradford Johnson's NPI number?

The NPI number for Bradford Johnson is 1164644647. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Bradford Johnson located?

Bradford Johnson practices at 801 S Paulina St Mc 621, Chicago, IL 60612. The listed phone number is (312) 355-1661.

What is Bradford Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Bradford Johnson enrolled in Medicare?

Yes. Bradford Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Bradford Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Bradford Johnson 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 Bradford Johnson 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.