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Active NPI 1578620431 Individual Practitioner Male Practitioner

Dr. Stewart Elgen Braddock , DDS

Dentist - General Practice • Kirbyville, TX

Professional Overview & Biography Verified Profile Summary

Dr. Stewart Braddock, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kirbyville, TX. Practice services are available at 2091 SOUTH MARGARET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2091 South Margaret

Kirbyville, TX 75956

Telephone 4094235519
Fax 4094235519

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kirbyville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Kirbyville, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 13307

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia
701005

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2091 SOUTH MARGARET, KIRBYVILLE, TX 75956 (Tel: 4094235519)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2091 SOUTH MARGARET, KIRBYVILLE, TX 75956 (Tel: 4094235519)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEWART BRADDOCK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #13307 in TX)

🟢
Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578620431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2091 South Margaret

Kirbyville, TX 75956

Phone: 4094235519

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.