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Brad Bryan,Dmd, PA

General Practice Dentistry in Pine Bluff, AR · enumerated 2007 · authorized official Dale Mayfield, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093905465

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Registry record

Entity type Organization (Type 2)
Legal business name Brad Bryan,Dmd, PA
Other name <Unavail>
Practice address 2801 S Olive St, Pine Bluff, AR, 71603
Fax (678) 302-7485
Enumeration date Jul 31, 2007
Last updated in NPPES Jan 4, 2019

Taxonomy & classification

1223E0200X Endodontics Dental Providers Secondary
1223G0001X General Practice Dentistry Dental Providers Primary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary

Authorized official

Name Dale Mayfield
Title President

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.

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Frequently asked questions

Who is the authorized official for Brad Bryan,Dmd, PA?
NPPES lists Dale Mayfield (President) as the authorized official for this organization.
What is the NPI number for Brad Bryan,Dmd, PA?
The NPI for Brad Bryan,Dmd, PA is 1093905465, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-04.