BENJAMIN D. BRADFORD M.D. – NPI #1629336128
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

Health Care Provider Taxonomy Code for Otolaryngology

BENJAMIN BRADFORD is an otolaryngologist located in STATELINE, NV. NPPES has assigned the NPI number 1629336128 to BENJAMIN BRADFORD on May 03, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 3 years ago on Jan 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BENJAMIN BRADFORD below.

NPI Profile for
BENJAMIN D. BRADFORD

NPI Number
1629336128
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BENJAMIN D. BRADFORD
Credentials
M.D.
Primary location
276 KINGSBURY GRADE # 101
STATELINE, NV 89449-9804
Phone: (775) 588-5000 Fax:
Mailing address
PO BOX 5910
STATELINE, NV 89449-5910
Phone: (775) 588-5000 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)		 NV 22619
2086S0122X
- Surgery / Plastic and Reconstructive Surgery		 NV 22619
207YX0007X
- Otolaryngology / Plastic Surgery within the Head & Neck		 NV 22619
207N00000X
- Dermatology		 NV 22619

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BENJAMIN BRADFORD is affiliated with the following medical group(s):
  • HOSPITAL
    • RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER
      26520 CACTUS AVENUE
      MORENO VALLEY, CA 92555

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