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DR. CHADWYCK R BRADLEY DMD
NPI 1679721054
Dentist in Kirtland Afb, NM

Active since August 28, 2008PECOS Enrolled
2050 A SECOND STREET SE, KIRTLAND AFB, NM 87117(505) 846-3027 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chadwyck R Bradley Dmd NPPES

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

DR. CHADWYCK R BRADLEY DMD (NPI 1679721054) is an individual dentist in Kirtland Afb, New Mexico, licensed in New Mexico (DD3940) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679721054
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. CHADWYCK R BRADLEYCredential: DMD
Location Address2050 A SECOND STREET SEKirtland Afb, NM 87117-5153
Mailing Address2050 A Second St SeKirtland Afb, NM 87117-0001 · (505) 846-3027
Phone(505) 846-3027
Sole ProprietorNo
Enumeration DateAugust 28, 2008
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1679721054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NM · DD3940✔ Licensed in AZ · D7651✔ Licensed in CA · 58624
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2050 A SECOND STREET SE, Kirtland Afb, NM 87117
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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. Chadwyck R Bradley 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 87117 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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. ANNA VLADIMIROVNA FEDOTOVA
Psychologist (Cognitive & Behavioral)
2050 A SECOND STREET SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3305
DR. JAMES W COCKERILL M.D.
Psychiatry & Neurology (Psychiatry)
2050 A SECOND STREET SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3509

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 Chadwyck Bradley's NPI number?

The NPI number for Chadwyck Bradley is 1679721054. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Where is Chadwyck Bradley located?

Chadwyck Bradley practices at 2050 A Second Street SE, Kirtland Afb, NM 87117. The listed phone number is (505) 846-3027.

What is Chadwyck Bradley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Chadwyck Bradley enrolled in Medicare?

Yes. Chadwyck Bradley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chadwyck Bradley was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.