BRADLEY MARC SUNDICK (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1235492059

BRADLEY MARC SUNDICK (DDS) is a healthcare provider. based in Edina, Minnesota. specializing in ORAL SURGERY, MAXILLOFACIAL SURGERY. They hold the professional credentials DDS. They hold a License No. D13116 (MN). The NPI Number for BRADLEY MARC SUNDICK (DDS) is 1235492059

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY MARC SUNDICK (DDS)
NPI
1235492059
Phone
(952) 835-5003
Address
7373 FRANCE AVE S
Enumeration Date
18 June 2012
Last Update Date
18 June 2012

Doctor Profile

Medical School Name
STATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE
Secondary Phone
9524752266
Graduation Year
2008 (18 years ago)
PAC ID
4880859271
Group Practice PAC ID
2961489844
Professional Enrollment ID
I20120710000662
Address ID
MN553911293WA250XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

81 ORAL SURGERY in MN

Provider Addresses for BRADLEY MARC SUNDICK (DDS)

  • 7373 FRANCE AVE S

    SUITE 602

    EDINA, MN 554354534

    Phone: (952) 835-5003

    Fax: (952) 835-9598

    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 6 Open Payments records for all available years, with a total value of $332.

Total Amount is formed as General ($332) + Research ($0) + Ownership ($0) = $332.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Dentsply Sirona Inc ($156).

Total Amount

$332

General + Research + Ownership

Payments

6

Total payment records

General Amount

$332

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2012-07-10

PECOS data refreshed: 2026-05-27

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
I20120710000662IMaxillofacial SurgeryMNTBD

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
99202New patient office or other outpatient visit, 15-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 2961489844View full group profile
NameSpecialtyState
Maxillofacial SurgeryMN
Maxillofacial SurgeryMN
Maxillofacial SurgeryMN
Maxillofacial SurgeryIA
Maxillofacial SurgeryPA
Maxillofacial SurgeryPA
-MN
Maxillofacial SurgeryMN
Maxillofacial SurgeryMN
Maxillofacial SurgeryMN

Reviews

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Frequently asked questions

What is BRADLEY MARC SUNDICK (DDS)'s NPI number?
BRADLEY MARC SUNDICK (DDS)'s NPI is 1235492059 — the number used across U.S. healthcare to identify this provider.
Is there an active status for BRADLEY MARC SUNDICK (DDS)?
For scheduling context, BRADLEY MARC SUNDICK (DDS) is shown as active in the registry.
What expertise is attributed to BRADLEY MARC SUNDICK (DDS)?
BRADLEY MARC SUNDICK (DDS)'s specialty line reads Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Where in Minnesota is BRADLEY MARC SUNDICK (DDS) registered?
Use Edina, Minnesota as the headline location for BRADLEY MARC SUNDICK (DDS) here.
Can I trust this NPI listing for BRADLEY MARC SUNDICK (DDS)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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