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DR. BRADLEY JAMES MALLEY DMD
NPI 1255712923
Dentist in Jackson, MS

Active since June 17, 2015PECOS Enrolled
11 LAKELAND CIR, JACKSON, MS 39216(601) 981-8166(601) 362-2164 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bradley James Malley Dmd NPPES

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

DR. BRADLEY JAMES MALLEY DMD (NPI 1255712923) is an individual dentist in Jackson, Mississippi, licensed in Mississippi (3801-15) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255712923
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRADLEY JAMES MALLEYCredential: DMD
Location Address11 LAKELAND CIRJackson, MS 39216-5006
Mailing Address11 Lakeland CirJackson, MS 39216-5006 · (601) 981-8166 · Fax (601) 362-2164
Phone(601) 981-8166
Fax(601) 362-2164
Sole ProprietorYes
Enumeration DateJune 17, 2015
Last NPPES UpdateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1255712923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MS · 3801-15
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.
11 LAKELAND CIR, Jackson, MS 39216
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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. Bradley James Malley Dmd 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 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 5

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

LAKELAND DENTAL CARE PA
Dentist (General Practice)
11 LAKELAND CIR
JACKSON, MS 39216
Hinds County (601) 981-8166
DR. ALEX STEPHENS ABERNATHY DDS
Dentist
11 LAKELAND CIR
JACKSON, MS 39216
Hinds County (601) 981-8166
MALLEY DENTAL, PLLC
Dentist
11 LAKELAND CIR
JACKSON, MS 39216
Hinds County (601) 981-8166
MRS. SARAH CRUMBLEY LANGSTON D.M.D.
Dentist
11 LAKELAND CIR
JACKSON, MS 39216
Hinds County (601) 981-8166
LAUREN LUDWIG DMD
Dentist
11 LAKELAND CIR
JACKSON, MS 39216
Hinds County (601) 981-8166

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 Malley's NPI number?

The NPI number for Bradley Malley is 1255712923. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Bradley Malley located?

Bradley Malley practices at 11 Lakeland Cir, Jackson, MS 39216. The listed phone number is (601) 981-8166.

What is Bradley Malley's specialty?

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

Is Bradley Malley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bradley Malley was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.