DR. BRADLEY RAYMOND BENDUSH DDS
NPI 1962510610
Dentist - General Practice in Indianapolis, IN

Active since August 25, 2006Opted out of Medicare · through Oct 15, 2027
115 N SHORTRIDGE RD, SUITE #200, INDIANAPOLIS, IN 46219(317) 353-1062(317) 357-5999 Get Directions Write a Review

NPPES record last updated: December 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley Raymond Bendush Dds NPPES

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

DR. BRADLEY RAYMOND BENDUSH DDS (NPI 1962510610) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12008546) and active in the NPI registry since August 2006. He has opted out of Medicare through October 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962510610
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRADLEY RAYMOND BENDUSHCredential: DDS
Location Address115 N SHORTRIDGE RD, SUITE #200Indianapolis, IN 46219-4908
Mailing Address115 N Shortridge Rd, Suite #200Indianapolis, IN 46219-4908 · (317) 353-1062 · Fax (317) 357-5999
Fax(317) 357-5999
Sole ProprietorYes
Enumeration DateAugust 25, 2006
Last NPPES UpdateDecember 30, 2010
NPI 1962510610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12008546
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.
115 N SHORTRIDGE RD, Indianapolis, IN 46219

Other Identifiers 1

Other8546IN · Indiana

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. Bradley Raymond Bendush 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 October 15, 2015 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2015
Opt-Out In Effect ThroughOctober 15, 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 46219 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 2

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

Dentist (Periodontics)
115 N SHORTRIDGE RD, SUITE 100
INDIANAPOLIS, IN 46219
Dentist (Periodontics)
115 N SHORTRIDGE RD, SUITE 100
INDIANAPOLIS, IN 46219

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 Bendush's NPI number?

The NPI number for Bradley Bendush is 1962510610. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Bradley Bendush located?

Bradley Bendush practices at 115 N Shortridge Rd Suite #200, Indianapolis, IN 46219. The listed phone number is (317) 353-1062.

What is Bradley Bendush's specialty?

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

Is Bradley Bendush enrolled in Medicare?

No. Bradley Bendush has opted out of Medicare through October 15, 2027. 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 Bradley Bendush accept?

Health plans from Delta Dental of Indiana list Bradley Bendush 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 Bendush was last updated on December 30, 2010. 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.