Dr. Bradley Thain Porter, DDS
Dr. Bradley Thain Porter is a Oral and Maxillofacial Surgery (Dentist) provider (Dentist) practicing in Mesa, AZ, registered in the NPPES registry with NPI 1023095734 since 2005. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023095734 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Bradley Thain Porter |
| Credential | DDS |
| Sex | Male |
| Practice address | 6755 E SUPERSTITION SPRINGS BLVD, SUITE 103, Mesa, AZ, 85206 |
| Phone | 4808305866 |
| Fax | 4808070606 |
| Enumeration date | 2005-12-23 |
| Last updated in NPPES | 2018-12-04 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | Primary | 4124 | AZ |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173766 | Medicaid | AZ | — |
| AZ0482170 | Other | AZ | BCBS |
Copy-ready billing details
Provider: Bradley Porter, DDS NPI: 1023095734 Taxonomy: 1223S0112X (Oral and Maxillofacial Surgery (Dentist)) Address: 6755 E SUPERSTITION SPRINGS BLVD, SUITE 103, Mesa, AZ, 85206
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891795282 | Paul Haycock | Individual | Periodontics | Mesa, AZ |
| 1609853365 | Brent Boyse | Individual | Oral and Maxillofacial Surgery (Dentist) | Mesa, AZ |
| 1891772505 | Robert Austin | Individual | Oral and Maxillofacial Surgery (Dentist) | Mesa, AZ |
| 1932132651 | Arizona Maxillofacial Surgeons, PC | Organization | Oral and Maxillofacial Surgery (Dentist) | Mesa, AZ |
| 1366531402 | Derrick Dickerson | Individual | General Practice Dentistry | Mesa, AZ |
| 1558493460 | Dickerson Enterprises, Incorporated | Organization | Dentist | Mesa, AZ |
| 1144342155 | Mark S. Hamblin, D.D.S., P.C. | Organization | Dentist | Mesa, AZ |
| 1558584045 | Mark Hamblin | Individual | General Practice Dentistry | Mesa, AZ |
Verify this record
Cross-check NPI 1023095734 against the authoritative CMS record: view Dr. Bradley Thain Porter on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is Bradley Porter?
Is this the official NPI registry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-12-04.