DR. BRADLEY ROBERT BURNETT (DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1174683254

DR. BRADLEY ROBERT BURNETT (DDS) is a healthcare provider. based in Pittsburg, Kansas. specializing in Oral & Maxillofacial Surgery (D.M.D.). They hold the professional credentials DDS. They hold a License No. 2005005794 (MO). The NPI Number for DR. BRADLEY ROBERT BURNETT (DDS) is 1174683254

Main info

Male
Sole Proprietor
Name
DR. BRADLEY ROBERT BURNETT (DDS)
NPI
1174683254
Phone
(620) 670-6775
Address
1602 N Broadway St
Enumeration Date
11 December 2006
Last Update Date
5 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. BRADLEY ROBERT BURNETT (DDS)

  • 1602 N Broadway St

    Pittsburg, KS 667623022

    Phone: (620) 670-6775

    Type: Location

  • 2819 E 29TH ST STE 1

    JOPLIN, MO 648043270

    Phone: (417) 621-0500

    Fax: (417) 781-5809

    Type: Location

  • 620, West 32nd Street, Joplin, Newton County, Missouri, 64804, United States

    JOPLIN, MO 648042549

    Phone: (417) 621-0500

    Type: Mailing

  • Maningas Cosmetic Surgery: Dr. Talon Maningas, 620, West 32nd Street, Joplin, Newton County, Missouri, 64804, United States

    SUITE A

    JOPLIN, MO 648041623

    Phone: (417) 621-0500

    Fax: (417) 781-5809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Nobel Biocare USA ($64).

Total Amount

$97

General + Research + Ownership

Payments

3

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2008-02-13

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
I20080213000220IOral SurgeryMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66762)

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Reviews

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Frequently asked questions

What is the standard ID for DR. BRADLEY ROBERT BURNETT (DDS) in the U.S.?
In the U.S., DR. BRADLEY ROBERT BURNETT (DDS) is identified by NPI 1174683254.
Quick check: is DR. BRADLEY ROBERT BURNETT (DDS) active?
Public NPPES data shows DR. BRADLEY ROBERT BURNETT (DDS) with an active NPI status right now.
How should patients interpret DR. BRADLEY ROBERT BURNETT (DDS)'s specialty?
The extract shows Oral & Maxillofacial Surgery (D.M.D.) for DR. BRADLEY ROBERT BURNETT (DDS). Clinical services aligned with this taxonomy classification.
What city is tied to DR. BRADLEY ROBERT BURNETT (DDS)?
The directory associates DR. BRADLEY ROBERT BURNETT (DDS) with Pittsburg, Kansas. Check all listed addresses for suites or satellite offices.
Can I export DR. BRADLEY ROBERT BURNETT (DDS)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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