Otolaryngology, Facial Plastic Surgery
Dr. BENJAMIN BRADFORD M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629336128 · enumerated 2012-05-03 · record updated 2023-01-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 5910, STATELINE, NV, 89449-5910 (775) 588-5000 Google Maps Apple Maps OpenStreetMap
- Practice location 276 KINGSBURY GRADE # 101, STATELINE, NV, 89449-9804 (775) 588-5000 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License 22619 NV
- Otolaryngology, Facial Plastic Surgery 207YS0123X · License A126409 CA
- Otolaryngology, Facial Plastic Surgery 207YS0123X · License 286986 NY
- Otolaryngology, Plastic Surgery within the Head & Neck 207YX0007X · License 22619 NV
- Surgery, Plastic and Reconstructive Surgery 2086S0122X · License 22619 NV
- Otolaryngology, Facial Plastic Surgery 207YS0123X · Primary · License 22619 NV
In this directory
NV Douglas County Stateline Otolaryngology, Facial Plastic Surgery
Locations and evidence
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Practice location
STATELINE, NV, 894499804
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.