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DR. BRADLEY MCALLISTER DDS,PHD
NPI 1922387240
Dentist - Periodontics in Tigard, OR

Active since August 04, 2011PECOS Enrolled
11525 SW DURHAM RD, STE. D-6, TIGARD, OR 97224(503) 620-2807(503) 968-5419 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Bradley Mcallister Dds,phd NPPES

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

DR. BRADLEY MCALLISTER DDS,PHD (NPI 1922387240) is an individual periodontics provider in Tigard, Oregon, licensed in Oregon (D6900) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922387240
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BRADLEY MCALLISTERCredential: DDS,PHD
Location Address11525 SW DURHAM RD, STE. D-6Tigard, OR 97224-3475
Mailing Address11525 Sw Durham Rd, Ste. D-6Tigard, OR 97224-3475 · (503) 620-2807 · Fax (503) 968-5419
Phone(503) 620-2807
Fax(503) 968-5419
Sole ProprietorYes
Enumeration DateAugust 4, 2011
✔ NPI 1922387240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OR · D6900
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
11525 SW DURHAM RD, Tigard, OR 97224
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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 Mcallister Dds,phd 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 97224 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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. RICHARD WHIPPLE D.D.S.
Dentist (General Practice)
11525 SW DURHAM RD
TIGARD, OR 97224
Washington County (503) 620-6133
RICHARD A. WHIPPLE D.D.S
Dentist (General Practice)
11525 SW DURHAM RD
TIGARD, OR 97224
Washington County (503) 620-6133
BRADLEY S. MCALLISTER, DDS, PHD
Clinic/Center (Dental)
11525 SW DURHAM RD, SUITE D-6
TIGARD, OR 97224
Washington County (503) 620-2807

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 Mcallister's NPI number?

The NPI number for Bradley Mcallister is 1922387240. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Bradley Mcallister located?

Bradley Mcallister practices at 11525 SW Durham Rd Ste. D-6, Tigard, OR 97224. The listed phone number is (503) 620-2807.

What is Bradley Mcallister's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Bradley Mcallister enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bradley Mcallister was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.