DR. BRALDEY J BURKET DMD, MD
NPI 1538579727
Preferred Provider Organization in Bend, OR

Active since April 28, 2014
2195 NE PROFESSIONAL CT STE 1, BEND, OR 97701(541) 322-9396(541) 322-9398 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Braldey J Burket Dmd, Md NPPES

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

DR. BRALDEY J BURKET DMD, MD (NPI 1538579727) is a healthcare organization registered as a preferred provider organization in Bend, Oregon and active in the NPI registry since April 2014. The organization lists Misty Boughton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1538579727
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameQHSA DBA DR. BRADLEY J BURKET DMD, MD
Location Address2195 NE PROFESSIONAL CT STE 1Bend, OR 97701-6028
Mailing Address2195 Ne Professional Ct Ste 1Bend, OR 97701-6028 · (541) 322-9396 · Fax (541) 322-9398
Fax(541) 322-9398
Organization SubpartNo
Authorized OfficialMisty BoughtonOffice Manager · (541) 322-0376
Enumeration DateApril 28, 2014
NPI 1538579727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in OR · MD19055
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

2195 NE PROFESSIONAL CT STE 1, Bend, OR 97701

Other Names 1

Doing Business AsDr. Braldey J Burket Dmd, Md

Other Identifiers 1

Medicaid000BLBYFOR

Accepted Insurance

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
2195 NE PROFESSIONAL CT STE 1
BEND, OR 97701

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 Qhsa Dba Dr. Bradley J Burket Dmd, MD's NPI number?

The NPI number for Qhsa Dba Dr. Bradley J Burket Dmd, MD is 1538579727. It was assigned to this organization in the NPPES registry on April 28, 2014. The provider is doing business as Dr. Braldey J Burket Dmd, MD.

Where is Qhsa Dba Dr. Bradley J Burket Dmd, MD located?

Qhsa Dba Dr. Bradley J Burket Dmd, MD is located at 2195 NE Professional Ct Ste 1, Bend, OR 97701. The listed phone number is (541) 322-9396.

What is Qhsa Dba Dr. Bradley J Burket Dmd, MD's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

What insurance does Qhsa Dba Dr. Bradley J Burket Dmd, MD accept?

Health plans from Moda Health Plan, Inc. list Qhsa Dba Dr. Bradley J Burket Dmd, MD 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 Qhsa Dba Dr. Bradley J Burket Dmd, MD was last updated on April 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.