Individual Healthcare Provider
Benjamin Daniel Bradford, M.D.
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 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Otolaryngology
Facial Plastic Surgery
Allopathic & Osteopathic Physicians
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 207N00000XOtolaryngology
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 207YX0007XSurgery
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
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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