DR. BRADLEY DAVID JORDAN D.D.S.
NPI 1841553708
Dentist in Brookings, SD

Active since June 15, 2012PECOS Enrolled
802 20TH ST S, BROOKINGS, SD 57006(605) 930-4343 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2025, Dec 14, 2021, Oct 3, 2015 (3 updates tracked since 2015).

About Dr. Bradley David Jordan D.d.s. NPPES

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

DR. BRADLEY DAVID JORDAN D.D.S. (NPI 1841553708) is an individual dentist in Brookings, South Dakota, licensed in South Dakota (D1080) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841553708
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRADLEY DAVID JORDANCredential: D.D.S.
Location Address802 20TH ST SBrookings, SD 57006-4663
Mailing Address802 20th St SBrookings, SD 57006-4663 · (605) 930-4343
Sole ProprietorYes
Enumeration DateJune 15, 2012
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1841553708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in SD · D1080 Licensed in IA · 08903
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.

802 20TH ST S, Brookings, SD 57006

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 David Jordan D.d.s. 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 57006 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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

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

Clinic/Center (Dental)
802 20TH ST S
BROOKINGS, SD 57006

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 Jordan's NPI number?

The NPI number for Bradley Jordan is 1841553708. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Bradley Jordan located?

Bradley Jordan practices at 802 20th St S, Brookings, SD 57006. The listed phone number is (605) 930-4343.

What is Bradley Jordan's specialty?

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

Is Bradley Jordan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bradley Jordan was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.