National Provider Identifier Database

QHSA DBA DR BRADLEY J BURKET DMD MD
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

QHSA DBA DR. BRADLEY J BURKET DMD, MD
2195 NE PROFESSIONAL CT STE 1
BEND, OR97701-6028
Phone: 541-322-9396
Fax: 541-322-9398
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for QHSA DBA DR. BRADLEY J BURKET DMD, MD

NPI Number 1538579727
Legal business name
LBN
QHSA DBA DR. BRADLEY J BURKET DMD, MD
Authorized official MISTY BOUGHTON - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/28/2014
Last updated 04/28/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: MD19055
  • OR Medicaid: 000BLBYF

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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