# BRADLEY A ELI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205948270
- **Gender:** Man
- **Credential:** DMD, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS36308 | CA | — |
| 1223X2210X | Orofacial Pain Dentistry | DS36308 | CA | Yes |
| 125Q00000X | Oral Medicine Dentistry | DS36308 | CA | — |
| 174400000X | Specialist | 36308 | CA | — |
| 208VP0000X | Pain Medicine Physician | DS36308 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | 36308 | CA | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 05/11/2026