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Qhsa DBA Dr. Bradley J Burket DMD, MD

NPI 1538579727ActiveOrganization· Preferred Provider Organization· Bend, OR

Preferred Provider Organization in Bend, Oregon, registered in NPPES in April 2014. The authorized official on file is Misty Boughton, Office Manager.

Overview

NPI1538579727
StatusActive
Entity typeOrganization
NPI issuedApr 28, 2014
Last updated in NPPESApr 28, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000XMD19055OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Bend

All Preferred Provider Organization providers in Oregon