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DR. BRADLEY ROBERT BURNETT DDS
NPI 1174683254
Oral & Maxillofacial Surgery in Joplin, MO

Active since December 11, 2006PECOS Enrolled
2819 E 29TH ST STE 1, JOPLIN, MO 64804(417) 621-0500(417) 781-5809 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2026, Jul 12, 2023, Aug 29, 2019 (3 updates tracked since 2019).

About Dr. Bradley Robert Burnett Dds NPPES

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

DR. BRADLEY ROBERT BURNETT DDS (NPI 1174683254) is an individual oral & maxillofacial surgery provider in Joplin, Missouri, licensed in Missouri (2005005794) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburg.

NPPES Registry Identity

NPI1174683254
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. BRADLEY ROBERT BURNETTCredential: DDS
Location Address2819 E 29TH ST STE 1Joplin, MO 64804-3270
Mailing Address620 W 32nd StJoplin, MO 64804-2549 · (417) 621-0500
Phone(417) 621-0500
Fax(417) 781-5809
Sole ProprietorYes
Enumeration DateDecember 11, 2006
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1174683254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MO · 2005005794
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 2005005794 (MO)
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 2005005794 (MO)
2819 E 29TH ST STE 1, Joplin, MO 64804
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Secondary Practice Location 1

Location 11602 N Broadway StPittsburg, KS 66762-3022 · Phone (620) 670-6775

Other Identifiers 4

Other1763846United Concordia Non-par
Other200505794MO · Cigna Dental Par
Other1700470970MO · Connection Dental Network
Other005005794MO · Delta Dental Provider #

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bradley Robert Burnett 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.

Medicare Billing Reassignment

Medicare enrollment records show Bradley Burnett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Joplin LLC
2.2 mi
Family Medicine
100 MERCY WAY
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group
NPI 1215264817 (417) 556-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Burnett's NPI number?

The NPI number for Bradley Burnett is 1174683254. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Bradley Burnett located?

Bradley Burnett practices at 2819 E 29th St Ste 1, Joplin, MO 64804. The listed phone number is (417) 621-0500.

What is Bradley Burnett's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Bradley Burnett enrolled in Medicare?

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

Which organization bills Medicare for Bradley Burnett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Burnett reassigns Medicare benefits to Mercy Clinic Joplin LLC (Joplin, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Burnett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Burnett accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Bradley Burnett 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 Burnett was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.