DR. BRALDEY J BURKET DMD, MD
NPI 1538579727
Preferred Provider Organization in Bend, OR
NPI Status: Active since April 28, 2014
Contact Information
2195 NE PROFESSIONAL CT STE 1
BEND, OR
ZIP 97701
Phone: (541) 322-9396
Fax: (541) 322-9398
- Organization
- Preferred Provider Organization
- Accepts Insurance
About DR. BRALDEY J BURKET DMD, MD
This page provides the complete NPI Profile along with additional information for Dr. Braldey J Burket Dmd, Md, a provider established in Bend, Oregon operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1538579727 assigned on April 2014. The practitioner's primary taxonomy code is 305R00000X with license number MD19055 (OR). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Dr. Braldey J Burket Dmd, Md. The authorized official of this NPI record is Miss Misty Boughton (Office Manager)
- NPI
- 1538579727
- Provider Legal Name
- QHSA DBA DR. BRADLEY J BURKET DMD, MD
- Other Organization Name
- DR. BRALDEY J BURKET DMD, MD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2195 NE PROFESSIONAL CT STE 1 BEND, OR 97701
- Location Phone
- (541) 322-9396
- Location Fax
- (541) 322-9398
- Mailing Address
- 2195 NE PROFESSIONAL CT STE 1 BEND, OR 97701
- Mailing Phone
- (541) 322-9396
- Mailing Fax
- (541) 322-9398
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2014
- Last Update Date
- 04-28-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- MD19055
- License State
- OR
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Delta Dental EPO - EPO
- Delta Dental PPO - PPO
- Delta Dental PPO MAC - PPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000BLBYF | MEDICAID (05) | OR |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 5 | 7 | 9 | 7 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 10 | 7 | 18 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 1 + 0 + 7 + 1 + 8 + 7 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1538579727 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780249193 | ASHLEIGH FORD PA-C Individual | Physician Assistant (Medical) | 2195 NE PROFESSIONAL CT STE 1 BEND, OR 97701 (541) 322-9396 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538579727, enumerated in the NPI registry as an "organization" on April 28, 2014
The provider is located at 2195 Ne Professional Ct Ste 1 Bend, Or 97701 and the phone number is (541) 322-9396
This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X
The provider might be accepting Accepts: BridgeSpan Health Company, Delta Dental Plan of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 28, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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