DR. BRADFORD BOWEN LILES DMD
NPI 1447570825
Dentist - General Practice in Theodore, AL

Q: What is Bradford Liles's NPI number?

The NPI number for Bradford Liles is 1447570825. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Q: What is Bradford Liles'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 Bradford Liles was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 08, 2010PECOS Enrolled

5721 HIGHWAY 90 STE A, THEODORE, AL 36582(251) 653-1300(251) 653-1300 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Bradford Bowen Liles Dmd NPPES

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

DR. BRADFORD BOWEN LILES DMD (NPI 1447570825) is an individual general practice provider in Theodore, Alabama, licensed in Alabama (5762) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447570825

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRADFORD BOWEN LILESCredential: DMD

Location Address5721 HIGHWAY 90 STE ATheodore, AL 36582-3601

Mailing Address5721 Highway 90 Ste ATheodore, AL 36582-3601 · (251) 653-1300 · Fax (251) 653-1300

Phone(251) 653-1300

Fax(251) 653-1300

Sole ProprietorYes

Enumeration DateJune 8, 2010

Last NPPES UpdateAugust 25, 2014

✔ NPI 1447570825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AL · 5762

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.

5721 HIGHWAY 90 STE A, Theodore, AL 36582

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Bradford Bowen Liles 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 36582 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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 2

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

LEE REDDITT DMD, PLLC

Clinic/Center (Dental)

5721 HIGHWAY 90 STE A
THEODORE, AL 36582

Mobile County (251) 653-1242

BRADFORD B. LILES, DMD, PC

Dentist (General Practice)

5721 HIGHWAY 90 STE A
THEODORE, AL 36582

Mobile County (251) 653-1300

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 Bradford Liles's NPI number?

The NPI number for Bradford Liles is 1447570825. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Bradford Liles located?

Bradford Liles practices at 5721 Highway 90 Ste A, Theodore, AL 36582. The listed phone number is (251) 653-1300.

What is Bradford Liles's specialty?

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

Is Bradford Liles enrolled in Medicare?

Yes. Bradford Liles is registered in the Medicare PECOS enrollment system.

What insurance does Bradford Liles accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 14 other insurers list Bradford Liles 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 Bradford Liles was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.