DR. JEANNENE EVELYN BRADLEY DDS
NPI 1932308756
Dentist - General Practice in Roanoke, VA

Active since July 12, 2007Opted out of Medicare · through Mar 14, 2028
5505 WILLIAMSON ROAD, ROANOKE, VA 24012(540) 366-0335 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeannene Evelyn Bradley Dds NPPES

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

DR. JEANNENE EVELYN BRADLEY DDS (NPI 1932308756) is an individual general practice provider in Roanoke, Virginia, licensed in Virginia (0401411872) and active in the NPI registry since July 2007. She has opted out of Medicare through March 14, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932308756
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEANNENE EVELYN BRADLEYCredential: DDS
Location Address5505 WILLIAMSON ROADRoanoke, VA 24012
Mailing Address5505 Williamson RoadRoanoke, VA 24012 · (540) 366-0335
Sole ProprietorNo
Enumeration DateJuly 12, 2007
NPI 1932308756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401411872
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.

5505 WILLIAMSON ROAD, Roanoke, VA 24012

Accepted Insurance

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. Jeannene Evelyn Bradley 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 March 14, 2016 through March 14, 2028.

Opt-Out Effective DateMarch 14, 2016
Opt-Out In Effect ThroughMarch 14, 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 24012 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Jeannene Bradley's NPI number?

The NPI number for Jeannene Bradley is 1932308756. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Jeannene Bradley located?

Jeannene Bradley practices at 5505 Williamson Road, Roanoke, VA 24012. The listed phone number is (540) 366-0335.

What is Jeannene Bradley's specialty?

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

Is Jeannene Bradley enrolled in Medicare?

No. Jeannene Bradley has opted out of Medicare through March 14, 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.

What insurance does Jeannene Bradley accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Jeannene Bradley 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 Jeannene Bradley was last updated on July 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.