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DR. BRADLEY JAMES KILLEBREW DDS
NPI 1902334600
Dentist - General Practice in Gonzales, LA

Active since May 25, 2017PECOS Enrolled
1116 S PURPERA AVE, GONZALES, LA 70737(225) 647-3577 Get Directions Write a Review

NPPES record last updated: May 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bradley James Killebrew Dds NPPES

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

DR. BRADLEY JAMES KILLEBREW DDS (NPI 1902334600) is an individual general practice provider in Gonzales, Louisiana, licensed in Louisiana (6746) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902334600
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRADLEY JAMES KILLEBREWCredential: DDS
Location Address1116 S PURPERA AVEGonzales, LA 70737-4361
Mailing Address11439 Spring Creek DrHammond, LA 70403-1919 · (985) 981-1040
Phone(225) 647-3577
Sole ProprietorNo
Enumeration DateMay 25, 2017
✔ NPI 1902334600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 6746
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1116 S PURPERA AVE, Gonzales, LA 70737
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 James Killebrew 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 70737 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 3

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

DR. SHELBY MANUEL SEGALLA DDS
Dentist (General Practice)
1116 S PURPERA AVE
GONZALES, LA 70737
Ascension Parish (225) 647-3577
DR. CHAD STEPHEN SPILLERS D.D.S.
Dentist (General Practice)
1116 S PURPERA AVE
GONZALES, LA 70737
Ascension Parish (225) 647-3577
SPILLOVER, LLC
Dentist
1116 S PURPERA AVE
GONZALES, LA 70737
Ascension Parish (225) 647-3577

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 Killebrew's NPI number?

The NPI number for Bradley Killebrew is 1902334600. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Bradley Killebrew located?

Bradley Killebrew practices at 1116 S Purpera Ave, Gonzales, LA 70737. The listed phone number is (225) 647-3577.

What is Bradley Killebrew's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bradley Killebrew enrolled in Medicare?

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

What insurance does Bradley Killebrew accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and BEST Life and 14 other insurers list Bradley Killebrew 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 Killebrew was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.