Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
QHSA DBA DR. BRADLEY J BURKET DMD, MD
Active
Organization
QHSA DBA DR. BRADLEY J BURKET DMD, MD
Active
Other names
Dr. Braldey J Burket DMD, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MISTY BOUGHTON (OFFICE MANAGER)
(541) 322-0376
Entity
Organization
Contact information
Practice address
2195 NE PROFESSIONAL CT STE 1, BEND, OR 97701-6028
(541) 322-9396
(541) 322-9398
Mailing address
2195 NE PROFESSIONAL CT STE 1, BEND, OR 97701-6028
(541) 322-9396
(541) 322-9398
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MD19055
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000BLBYF
—
OR
Enumeration date
04/28/2014
Last updated
04/28/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up