DR. BRADFORD J. PORTER DDS
NPI 1619965407
Dentist - Oral and Maxillofacial Surgery in Marlton, NJ

Active since October 06, 2005PECOS Enrolled
94 BRICK RD, WEST JERSEY MEDICAL PLAZA SUITE 100, MARLTON, NJ 08053(856) 596-9099(856) 596-6715 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bradford J. Porter Dds NPPES

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

DR. BRADFORD J. PORTER DDS (NPI 1619965407) is an individual oral and maxillofacial surgery provider in Marlton, New Jersey, licensed in New Jersey (DI14482) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619965407
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRADFORD J. PORTERCredential: DDS
Location Address94 BRICK RD, WEST JERSEY MEDICAL PLAZA SUITE 100Marlton, NJ 08053-2179
Mailing Address94 Brick Rd, West Jersey Medical Plaza Suite 100Marlton, NJ 08053-2179 · (856) 596-9099 · Fax (856) 596-6715
Fax(856) 596-6715
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1619965407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NJ · DI14482
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
94 BRICK RD, Marlton, NJ 08053

Other Identifiers 3

Medicaid1126903NJ
Medicare ID-Type Unspecified091839NJ
Medicare UPINU01551NJ

Accepted 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 J. Porter Dds 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 5

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

Specialist
94 BRICK RD, STE: 103
MARLTON, NJ 08053
Family Medicine
94 BRICK RD, SUITE 105
MARLTON, NJ 08053
Family Medicine (Adult Medicine)
94 BRICK RD, SUITE 105
MARLTON, NJ 08053
Dentist (Oral and Maxillofacial Surgery)
94 BRICK RD, WEST JERSEY MEDICAL PLAZA SUITE 100
MARLTON, NJ 08053
Dentist (Oral and Maxillofacial Surgery)
94 BRICK RD, WEST JERSEY MEDICAL PLAZA STE. 100
MARLTON, NJ 08053

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 Porter's NPI number?

The NPI number for Bradford Porter is 1619965407. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Bradford Porter located?

Bradford Porter practices at 94 Brick Rd West Jersey Medical Plaza Suite 100, Marlton, NJ 08053. The listed phone number is (856) 596-9099.

What is Bradford Porter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bradford Porter enrolled in Medicare?

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

What insurance does Bradford Porter accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Bradford Porter 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 Porter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.