DR. BRADLEY ALAN WEISS DDS
NPI 1821152729
Dentist in Evanston, IL

Q: What is Bradley Weiss's NPI number?

The NPI number for Bradley Weiss is 1821152729. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is Bradley Weiss's specialty?

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

Q: Is Bradley Weiss enrolled in Medicare?

No. Bradley Weiss has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Bradley Weiss 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.

Active since December 22, 2006Opted out of Medicare · through Feb 10, 2028

636 CHURCH ST, SUITE 200 W, EVANSTON, IL 60201(847) 864-0082 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Bradley Alan Weiss Dds NPPES

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

DR. BRADLEY ALAN WEISS DDS (NPI 1821152729) is an individual dentist in Evanston, Illinois and active in the NPI registry since December 2006. He has opted out of Medicare through February 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821152729

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRADLEY ALAN WEISSCredential: DDS

Location Address636 CHURCH ST, SUITE 200 WEvanston, IL 60201-4508

Mailing Address636 Church St, Suite 200 WEvanston, IL 60201-4508 · (847) 864-0082

Phone(847) 864-0082

Sole ProprietorNo

Enumeration DateDecember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1821152729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

636 CHURCH ST, Evanston, IL 60201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bradley Alan Weiss Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2016 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2016

Opt-Out In Effect ThroughFebruary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 20

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

DR. SHEILA M. CULKIN PH.D.

Psychologist (Clinical)

636 CHURCH ST, SUITE #421
EVANSTON, IL 60201

Cook County (847) 328-3120

AMY OWEN

Counselor (Professional)

636 CHURCH ST
EVANSTON, IL 60201

Cook County (203) 693-4917

MR. JIMMY ROBERT DONG DDS

Dentist

636 CHURCH ST, #721
EVANSTON, IL 60201

Cook County (847) 475-6606

MS. BARBARA A. ENGLAND L.C.S.W

Social Worker (Clinical)

636 CHURCH ST, #508
EVANSTON, IL 60201

Cook County (847) 328-4860

LAURA SHAMORIAN GOSSIN MS, LMFT

Marriage & Family Therapist

636 CHURCH ST, SUITE 601
EVANSTON, IL 60201

Cook County (312) 344-3596

DR. NANCY L. JENSEN PHD

Psychologist (Clinical)

636 CHURCH ST, SUITE 416
EVANSTON, IL 60201

Cook County (847) 612-0598

DR. JESSICA I STRANG PSY.D.

Psychologist (Clinical)

636 CHURCH ST, SUITE 615-B
EVANSTON, IL 60201

Cook County (773) 983-5672

MRS. LOIS N. SILVERSTEIN LCSW

Counselor (Mental Health)

636 CHURCH ST, SUITE 409
EVANSTON, IL 60201

Cook County (847) 475-8342

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 Weiss's NPI number?

The NPI number for Bradley Weiss is 1821152729. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Bradley Weiss located?

Bradley Weiss practices at 636 Church St Suite 200 W, Evanston, IL 60201. The listed phone number is (847) 864-0082.

What is Bradley Weiss's specialty?

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

Is Bradley Weiss enrolled in Medicare?

No. Bradley Weiss has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bradley Weiss 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.