DR. EMILY K BRADSHAW DMD
NPI 1528636024
Dentist - General Practice in Bend, OR

Q: What is Emily Bradshaw's NPI number?

The NPI number for Emily Bradshaw is 1528636024. It was assigned to this individual provider in the NPPES registry on June 12, 2021.

Q: What is Emily Bradshaw'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 Emily Bradshaw was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 12, 2021PECOS Enrolled

80 NE BEND RIVER MALL DRIVE, BEND, OR 97703(541) 647-5555 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 17, 2022, Jun 12, 2021 (2 updates tracked since 2021).

On this page

About Dr. Emily K Bradshaw Dmd NPPES

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

DR. EMILY K BRADSHAW DMD (NPI 1528636024) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D11620) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528636024

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. EMILY K BRADSHAWCredential: DMD

Location Address80 NE BEND RIVER MALL DRIVEBend, OR 97703-7528

Mailing Address21288 Se Daylily AveBend, OR 97702-8829

Phone(541) 647-5555

Sole ProprietorYes

Enumeration DateJune 12, 2021

Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2025

✔ NPI 1528636024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in OR · D11620✔ Licensed in OH · RES.004379

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.

80 NE BEND RIVER MALL DRIVE, Bend, OR 97703

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Emily K Bradshaw 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 97703 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

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 Emily Bradshaw's NPI number?

The NPI number for Emily Bradshaw is 1528636024. It was assigned to this individual provider in the NPPES registry on June 12, 2021.

Where is Emily Bradshaw located?

Emily Bradshaw practices at 80 NE Bend River Mall Drive, Bend, OR 97703. The listed phone number is (541) 647-5555.

What is Emily Bradshaw's specialty?

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

Is Emily Bradshaw enrolled in Medicare?

Yes. Emily Bradshaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Bradshaw was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.