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NPISignal

Individual Healthcare Provider

Benjamin Daniel Bradford, M.D.

NPI Record: ActiveOtolaryngology — Facial Plastic Surgery
NPI1629336128
Stateline, Nevada

Provider's NPPES record last updated: January 30, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1629336128
Primary Specialty
Otolaryngology — Facial Plastic Surgery
Practice Location
Stateline, Nevada
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:42 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Otolaryngology

    Facial Plastic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    An otolaryngologist who specializes in facial plastic surgery.

    Taxonomy code 207YS0123X
  • Dermatology

    Allopathic & Osteopathic Physicians

    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

    Taxonomy code 207N00000X
  • Otolaryngology

    Plastic Surgery within the Head & Neck

    Allopathic & Osteopathic Physicians

    An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

    Taxonomy code 207YX0007X
  • Surgery

    Plastic and Reconstructive Surgery

    Allopathic & Osteopathic Physicians

    A surgeon who specializes in plastic and reconstructive surgery.

    Taxonomy code 2086S0122X

Provider-Reported License Information

Otolaryngology (Nevada)
22619
Dermatology (Nevada)
22619
Otolaryngology (California)
A126409
Otolaryngology (New York)
286986
Otolaryngology (Nevada)
22619
Surgery (Nevada)
22619
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

276 Kingsbury Grade # 101

Stateline, Nevada 89449-9804

Phone: (775) 588-5000

Record Information

Enumeration Date
May 3, 2012
Provider's NPPES Record Last Updated
January 30, 2023
Certification Date
January 30, 2023
NPISignal NPPES Dataset
August 2026

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