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DR. BRADLEY CLAYTON RANDALL DDS
NPI 1750540779
Dentist in Paw Paw, MI

Active since June 05, 2008PECOS Enrolled
104 MUNICIPAL LN, PAW PAW, MI 49079(269) 657-4001 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley Clayton Randall Dds NPPES

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

DR. BRADLEY CLAYTON RANDALL DDS (NPI 1750540779) is an individual dentist in Paw Paw, Michigan, licensed in Michigan (2901019821) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750540779
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRADLEY CLAYTON RANDALLCredential: DDS
Location Address104 MUNICIPAL LNPaw Paw, MI 49079-1425
Mailing AddressPo Box 232Paw Paw, MI 49079-0232 · (269) 657-4001
Phone(269) 657-4001
Sole ProprietorNo
Enumeration DateJune 5, 2008
✔ NPI 1750540779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901019821
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.
104 MUNICIPAL LN, Paw Paw, MI 49079
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.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. Bradley Clayton Randall 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49079 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Bradley Randall's NPI number?

The NPI number for Bradley Randall is 1750540779. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Bradley Randall located?

Bradley Randall practices at 104 Municipal Ln, Paw Paw, MI 49079. The listed phone number is (269) 657-4001.

What is Bradley Randall's specialty?

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

Is Bradley Randall enrolled in Medicare?

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

What insurance does Bradley Randall accept?

Health plans from Delta Dental of Michigan list Bradley Randall 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 Bradley Randall was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.