MEDICARE: BRADLEY JOHN BURKET D.M.D.,M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D6600	OR
2	207Q00000X	Family Medicine Physician	MD19055	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1156820001	OTHER	OR	CIGNA
2	002955000	OTHER	OR	BCBS
3	100117	OTHER	OR	COIHS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	7608077	OTHER	OR	AETNA

General Provider Information

NPI Number	:	1235165325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY JOHN BURKET D.M.D.,M.D.

Provider Business Mailing Address
First Line	:	2195 NE PROFESSIONAL CT
Second Line	:	STE 1
City	:	BEND
State	:	OR
Zip	:	97701-6028
Country	:	US
Telephone Number	:	541-322-9396
Fax Number	:	541-322-9398

Provider Business Practice Location Address
First Line	:	2195 NE PROFESSIONAL CT
Second Line	:	STE 1
City	:	BEND
State	:	OR
Zip	:	97701-6028
Country	:	US
Telephone Number	:	541-322-9396
Fax Number	:	541-322-9398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	01/17/2012

Similar Medicare Providers

1225831837 — NEIGHBORHOOD FAMILY MEDICINE
Practice Location Address:

2195 NE PROFESSIONAL CT
BEND, OR
97701-6028

Practice Phone: 541-322-9396
Practice Fax:

1821225103 — WELLBODY THERAPEUTICS, LLC
Practice Location Address:

2195 NE PROFESSIONAL CT , SUITE # 6
BEND, OR
97701-6028

Practice Phone: 541-390-4361
Practice Fax: 541-322-9398

1538579727 — QHSA DBA DR. BRADLEY J BURKET DMD, MD
Practice Location Address:

2195 NE PROFESSIONAL CT STE 1
BEND, OR
97701-6028

Practice Phone: 541-322-9396
Practice Fax: 541-322-9398

1215301163 — CASCADE IN HOME CARE, LLC
Practice Location Address:

2195 NE PROFESSIONAL CT
BEND, OR
97701-6028

Practice Phone: 541-633-7436
Practice Fax: 541-633-7438

1780249193 — ASHLEIGH FORD PA-C
Practice Location Address:

2195 NE PROFESSIONAL CT STE 1
BEND, OR
97701-6028

Practice Phone: 541-322-9396
Practice Fax: 541-322-9398

1699520296 — PNW HOME CARE, LLC
Practice Location Address:

2195 NE PROFESSIONAL CT STE 15
BEND, OR
97701-6028

Practice Phone: 541-510-1877
Practice Fax:

Directions to “ BRADLEY JOHN BURKET D.M.D.,M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.