Dr. Braldey J Burket Dmd, Md

LBN: Qhsa Dba Dr. Bradley J Burket Dmd, Md
Dr. Braldey J Burket Dmd, Md is an health care organization with primary practice located at 2195 Ne Professional Ct Ste 1 , Bend OR 97701-6028. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Qhsa Dba Dr. Bradley J Burket Dmd, Md can be contacted via phone (541) 322-9396, or through Boughton, Misty via phone (541) 322-0376.

Contact Information

Primary practice address
2195 Ne Professional Ct Ste 1 Bend OR 97701-6028
Phone: (541) 322-9396
Fax: (541) 322-9398
Website:
Map and Directions
Authorized official contact:
Name: Boughton, Misty
Phone: (541) 322-0376

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MD19055 Oregon

Profile Details

NPI number 1538579727
LBN Legal business name Qhsa Dba Dr. Bradley J Burket Dmd, Md
DBA Doing business as Dr. Braldey J Burket Dmd, Md
Authorized official Boughton, Misty
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2014
Last updated Apr 28th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538579727 NPPES
Oregon MEDICAID 000BLBYF

Popular Providers