NPI 1538579727

Qhsa Dba Dr. Bradley J Burket DMD, MD

Organisation Preferred Provider Organization Bend, OR

Practice location

Address: 2195 NE Professional CT STE 1, Bend, OR 97701-6028
Phone: (541) 322-9396
Fax: (541) 322-9398

Authorised official

Name: Misty Boughton
Title: Office Manager
Phone: (541) 322-0376

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MD19055 (OR)

Other Preferred Provider Organization providers in Oregon →

Registry record

NPI: 1538579727
Entity type: Organization
NPI issued: 28 Apr 2014
Record last updated: 28 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.