DR. BRADLEY EDHOLM KING DDS - NPI 1174633036

Q: What is Bradley King's NPI number?

The NPI number for Bradley King is 1174633036. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Bradley King's specialty?

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

Q: Is Bradley King enrolled in Medicare?

No. Bradley King has opted out of Medicare through September 2, 2027. 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 Bradley King was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Bradley Edholm King Dds NPPES

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

DR. BRADLEY EDHOLM KING DDS (NPI 1174633036) is an individual general practice provider in Bismarck, North Dakota, licensed in North Dakota (1663) and active in the NPI registry since August 2006. He has opted out of Medicare through September 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174633036

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRADLEY EDHOLM KINGCredential: DDS

Location Address121 E FRONT AVEBismarck, ND 58504-5589

Mailing Address737 Munich DrBismarck, ND 58504-7042 · (701) 258-7579

Phone(701) 223-1194

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174633036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ND · 1663

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.

121 E FRONT AVE, Bismarck, ND 58504

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Other Identifiers 1

Medicaid41242ND

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. Bradley Edholm King 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 September 2, 2017 through September 2, 2027.

Opt-Out Effective DateSeptember 2, 2017

Opt-Out In Effect ThroughSeptember 2, 2027Opt-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 58504 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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 9

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

DR. BREANNA M OHLHAUSER DDS

Dentist (General Practice)