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

Active since December 22, 2006PECOS Enrolled
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: July 19, 2026.

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 is enrolled in Medicare PECOS.

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
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

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, 2026.

Opt-Out Effective DateFebruary 10, 2016
Opt-Out In Effect ThroughFebruary 10, 2026Opt-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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60201 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.06
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $23.51
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.8
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $18.7
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.

Audiologist
636 CHURCH ST, 420
EVANSTON, IL 60201
Dentist (Periodontics)
636 CHURCH ST, SUITE 722
EVANSTON, IL 60201
Obstetrics & Gynecology
636 CHURCH ST, STE 217
EVANSTON, IL 60201
Psychologist (Clinical)
636 CHURCH ST, 619A
EVANSTON, IL 60201
Psychologist (Clinical)
636 CHURCH ST, SUITE419A
EVANSTON, IL 60201
Dentist (General Practice)
636 CHURCH ST, 304
EVANSTON, IL 60201
Dentist (General Practice)
636 CHURCH ST, SUITE 520
EVANSTON, IL 60201
Social Worker (Clinical)
636 CHURCH ST, #418
EVANSTON, IL 60201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821152729, enumerated as an "individual" on December 22, 2006.

The provider is located at 636 CHURCH ST SUITE 200 W EVANSTON, IL 60201 and the phone number is (847) 864-0082.

Dentist with taxonomy code 122300000X.