DR. BRADLEY BISHOP DIMINICK DDS
NPI 1417516733
Dentist - General Practice in Kingsport, TN

Q: What is Bradley Diminick's NPI number?

The NPI number for Bradley Diminick is 1417516733. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Q: What is Bradley Diminick'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 Bradley Diminick was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 10, 2019

2975 FORT HENRY DR STE A, KINGSPORT, TN 37664(423) 247-9196 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Bradley Bishop Diminick Dds NPPES

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

DR. BRADLEY BISHOP DIMINICK DDS (NPI 1417516733) is an individual general practice provider in Kingsport, Tennessee, licensed in Tennessee (11078) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1417516733

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRADLEY BISHOP DIMINICKCredential: DDS

Location Address2975 FORT HENRY DR STE AKingsport, TN 37664-4005

Mailing Address5642 John Gaines BlvdKingsport, TN 37664-6532 · (423) 863-6114

Phone(423) 247-9196

Sole ProprietorNo

Enumeration DateJune 10, 2019

✔ NPI 1417516733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · 11078

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.

2975 FORT HENRY DR STE A, Kingsport, TN 37664

Open in Google Maps ↗

Accepted Insurance

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

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 Diminick's NPI number?

The NPI number for Bradley Diminick is 1417516733. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Bradley Diminick located?

Bradley Diminick practices at 2975 Fort Henry Dr Ste A, Kingsport, TN 37664. The listed phone number is (423) 247-9196.

What is Bradley Diminick's specialty?

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

What insurance does Bradley Diminick accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Bradley Diminick 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 Diminick was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.