DR. BRADLEY ALAN CHERRY D.D.S., M.D.
NPI 1942399852
Dentist - Oral and Maxillofacial Surgery in St. Augustine, FL

Q: What is Bradley Cherry's NPI number?

The NPI number for Bradley Cherry is 1942399852. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Bradley Cherry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Bradley Cherry enrolled in Medicare?

No. Bradley Cherry has opted out of Medicare through February 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Bradley Cherry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 11, 2006Opted out of Medicare · through Feb 13, 2027

109 NATURE WALK PARKWAY, SUITE 106, ST. AUGUSTINE, FL 32092(904) 230-6399 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Bradley Alan Cherry D.d.s., M.d. NPPES

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

DR. BRADLEY ALAN CHERRY D.D.S., M.D. (NPI 1942399852) is an individual oral and maxillofacial surgery provider in St. Augustine, Florida, licensed in Florida (DN17470) and active in the NPI registry since October 2006. He has opted out of Medicare through February 13, 2027.

NPPES Registry Identity

NPI1942399852

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. BRADLEY ALAN CHERRYCredential: D.D.S., M.D.

Location Address109 NATURE WALK PARKWAY, SUITE 106St. Augustine, FL 32092

Mailing Address4604 Sw 45th LnGainesville, FL 32608-4948 · (352) 246-8860

Phone(904) 230-6399

Sole ProprietorYes

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942399852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in FL · DN17470

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

109 NATURE WALK PARKWAY, St. Augustine, FL 32092

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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 Cherry D.d.s., M.d. 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 13, 2015 through February 13, 2027.

Opt-Out Effective DateFebruary 13, 2015

Opt-Out In Effect ThroughFebruary 13, 2027Opt-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 32092 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 Bradley Cherry's NPI number?

The NPI number for Bradley Cherry is 1942399852. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Bradley Cherry located?

Bradley Cherry practices at 109 Nature Walk Parkway Suite 106, St. Augustine, FL 32092. The listed phone number is (904) 230-6399.

What is Bradley Cherry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bradley Cherry enrolled in Medicare?

No. Bradley Cherry has opted out of Medicare through February 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bradley Cherry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.