OrganizationActive
Bradley Dental, LLC
NPI 1295906584 · General Practice Dentistry · Bourbonnais, IL
Provider details
- NPI number
- 1295906584
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Koushan Azad, Owner/Dentist(815) 929-0222
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2034 N State Route 50
Bourbonnais, IL 60914-4410
Phone: (815) 929-0222
Street-level locationGet directions
Mailing address
2034 N State Route 50
Bourbonnais, IL 60914-4410
Registry dates
- Enumerated
- 2008-03-14
- Last updated
- 2008-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.