Dr. Eldon Luis Bradham , DDS
Dentist - General Practice • Kalamazoo, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eldon Bradham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Eldon Bradham, DDS was a registered Dentist - General Practice practicing in Kalamazoo, MI. Throughout an active medical career spanning 19 years, Dr. Bradham provided care at the practice location at 200 TURWILL LN until profile deactivation on 2024-05-08.
Practice Location & Contact Primary Location
200 Turwill Ln
Kalamazoo, MI 490064277
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Kalamazoo, MI
Practicing in Kalamazoo, MI (4360 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychologist - Addiction (Substance Use Disorder)
Doctor of Education (Ed.D.)
Dentist
Doctor of Dental Surgery
Dentist - General Practice
DDSPLC
Dentist - General Practice
Doctor of Dental Surgery
Psychologist
Master of Arts
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 08, 2024
NPI status registered as active in NPPES database
Registered at 200 TURWILL LN, KALAMAZOO, MI 490064277 (Tel: 2693813838)
Registered at 200 TURWILL LN, KALAMAZOO, MI 490064277 (Tel: 2693813838)
Recorded as ELDON BRADHAM, DDS
Dentist (License #2901009581 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
200 Turwill Ln
Kalamazoo, MI 490064277
Phone: 2693813838
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