Brad Bryan,Dmd, PA
Brad Bryan,Dmd, PA is a healthcare organization registered as General Practice Dentistry in Pine Bluff, AR, holding Type 2 (organization) NPI 1093905465 since 2007. The authorized official on file is Dale Mayfield, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093905465 |
|---|---|
| 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 |
| Phone | 7709169000 |
| Fax | 6783027485 |
| Enumeration date | 2007-07-31 |
| Last updated in NPPES | 2019-01-04 |
Authorized official
| Name | Dale Mayfield |
|---|---|
| Title | President |
| Phone | 7709165036 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223E0200X | Endodontics | Secondary | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | Secondary | — | — |
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Brad Bryan,Dmd, PA NPI: 1093905465 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 2801 S OLIVE ST, Pine Bluff, AR, 71603
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245293950 | Southeast Arkansas Physical Therapy, Inc. | Organization | Physical Therapist | Pine Bluff, AR |
| 1326003435 | Steve Hornbeck | Individual | Physical Therapist | Pine Bluff, AR |
| 1093770109 | Catherine Hornbeck | Individual | Physical Therapist | Pine Bluff, AR |
| 1497711014 | Kimberly Spivey | Individual | Physical Therapist | Pine Bluff, AR |
| 1568583755 | Samuel Chaffin | Individual | Physical Therapist | Pine Bluff, AR |
| 1114242740 | Amanda Harris | Individual | Physical Therapist | Pine Bluff, AR |
| 1255634291 | Burris-Dake Oral Surgery | Organization | Oral and Maxillofacial Surgery (Dentist) | Pine Bluff, AR |
| 1770932808 | Dustin Wallace | Individual | General Practice Dentistry | Pine Bluff, AR |
Verify this record
Cross-check NPI 1093905465 against the authoritative CMS record: view Brad Bryan,Dmd, PA 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
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2019-01-04.