DR. PATTI JUNE BRADLEY D.M.D
NPI 1235132911
Dentist - General Practice in Greensboro, GA

Q: What is Patti Bradley's NPI number?

The NPI number for Patti Bradley is 1235132911. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Patti Bradley'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 Patti Bradley was last updated on December 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 24, 2005PECOS Enrolled

1011 PARKSIDE MAIN, GREENSBORO, GA 30642(706) 453-1333(706) 453-7001 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Patti June Bradley D.m.d NPPES

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

DR. PATTI JUNE BRADLEY D.M.D (NPI 1235132911) is an individual general practice provider in Greensboro, Georgia, licensed in Georgia (11656) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235132911

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PATTI JUNE BRADLEYCredential: D.M.D

Location Address1011 PARKSIDE MAINGreensboro, GA 30642-4543

Mailing Address1011 Parkside MainGreensboro, GA 30642-4543 · (706) 453-1333 · Fax (706) 453-7001

Phone(706) 453-1333

Fax(706) 453-7001

Sole ProprietorNo

Enumeration DateMay 24, 2005

Last NPPES UpdateDecember 26, 2013

✔ NPI 1235132911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 11656

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.

1011 PARKSIDE MAIN, Greensboro, GA 30642

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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)

Dr. Patti June Bradley D.m.d 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 30642 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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 7

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

WENDY E CARDENAS DMD

Dentist