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DR. MARK LARSEN BRADFORD D.D.S.
NPI 1477555613
Dentist - General Practice in Chico, CA

Active since June 01, 2005PECOS Enrolled
2545 CEANOTHUS AVE, STE 138, CHICO, CA 95973(530) 342-7974 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Larsen Bradford D.d.s. NPPES

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

DR. MARK LARSEN BRADFORD D.D.S. (NPI 1477555613) is an individual general practice provider in Chico, California, licensed in California (36646) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477555613
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK LARSEN BRADFORDCredential: D.D.S.
Location Address2545 CEANOTHUS AVE, STE 138Chico, CA 95973-7611
Mailing Address2545 Ceanothus Ave, Ste 138Chico, CA 95973-7611 · (530) 342-7974
Phone(530) 342-7974
Sole ProprietorYes
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 11, 2007
✔ NPI 1477555613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 36646
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.

2545 CEANOTHUS AVE, Chico, CA 95973
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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. Mark Larsen Bradford D.d.s. 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 95973 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

DR. DORIAN ARTHUR DODDS DDS
Dentist (General Practice)
2545 CEANOTHUS AVE, SUITE #134
CHICO, CA 95973
Butte County (530) 342-5653
DR. JUDY ANN BRISLAIN ED.D. L.M.F.T.
Psychologist
2545 CEANOTHUS AVE, SUITE 130
CHICO, CA 95973
Butte County (530) 342-2567

Frequently Asked Questions

What is Mark Bradford's NPI number?

The NPI number assigned to this healthcare provider is 1477555613, enumerated as an "individual" on June 01, 2005.

Where is the provider located?

The provider is located at 2545 CEANOTHUS AVE STE 138 CHICO, CA 95973 and the phone number is (530) 342-7974.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.