Chadwyck R. Bradley, DMD
NPI 1679721054ActiveIndividual· Dentist· Kirtland Afb, NM
Dentist (DMD) in Kirtland Afb, New Mexico, licensed in NM, CA and AZ, with an NPI issued in August 2008. Enrolled in Medicare as order and referring only - dentist.
Overview
| NPI | 1679721054 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Aug 28, 2008 |
| Last updated in NPPES | Mar 26, 2021 |
| Certified by provider | Mar 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DD3940 | NM |
| Dentist | 122300000X | 58624 | CA |
| Dentist | 122300000X | D7651 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (TX) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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