BRADLEY A ELI (DMD, MS) – Pain Medicine Physician, NPI 1205948270

BRADLEY A ELI (DMD, MS) is a healthcare provider. based in Encinitas, California. specializing in ORAL SURGERY. They hold the professional credentials DMD, MS. They hold a License No. DS36308 (CA). The NPI Number for BRADLEY A ELI (DMD, MS) is 1205948270

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY A ELI (DMD, MS)
NPI
1205948270
Phone
(760) 436-6365
Address
4403 MANCHESTER AVE
Enumeration Date
31 August 2006
Last Update Date
7 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604366365
Graduation Year
1987 (39 years ago)
PAC ID
4587718952
Group Practice PAC ID
1557682804
Professional Enrollment ID
I20090819000640
Address ID
CA920244939EN4403XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

141 ORAL SURGERY in CA

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Provider Addresses for BRADLEY A ELI (DMD, MS)

  • 4403, Manchester Avenue, Olivenhain, Encinitas, San Diego County, California, 92024, United States

    SUITE 101

    ENCINITAS, CA 920244939

    Phone: (760) 436-6365

    Fax: (760) 436-5123

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $524.

Total Amount is formed as General ($524) + Research ($0) + Ownership ($0) = $524.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Lundbeck LLC ($196).

Total Amount

$524

General + Research + Ownership

Payments

21

Total payment records

General Amount

$524

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090819000640IOral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit16,33166$0
99214Established patient office or other outpatient visit, 30-39 minutes281143$0
99213Established patient office or other outpatient visit, 20-29 minutes260146$0
99204New patient office or other outpatient visit, 45-59 minutes125125$0
64612Injection of chemical for paralysis of nerve muscles on side of face10466$0
View full utilization report →

Insurance plans in this area (ZIP 92024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557682804View full group profile
NameSpecialtyState
D E N T I S TCA
Dentist, Pain ManagementCA
D E N T I S TCA
Oral SurgeryCA
Dentist, Orofacial PainAA

Reviews

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Frequently asked questions

Is BRADLEY A ELI (DMD, MS) listed with a National Provider Identifier?
Yes — BRADLEY A ELI (DMD, MS) has NPI 1205948270 on file in the registry.
Is BRADLEY A ELI (DMD, MS) still an active registrant?
BRADLEY A ELI (DMD, MS) carries an active NPI according to the public dataset.
What clinical focus is listed for BRADLEY A ELI (DMD, MS)?
At a glance, BRADLEY A ELI (DMD, MS) is tied to Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRADLEY A ELI (DMD, MS)?
Travel planning: use Encinitas, California as the reference point for BRADLEY A ELI (DMD, MS), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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