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Export Provider Record NPI 1003048752
Bradford L Picot, Dds, P.a.
Organization Subpart: NO
Active
NPI Number1003048752
NPI TypeNPI-2 Organization
SpecialtyDentist, General Practice
Provider Details
NPI1003048752
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2009-08-13
Last Updated2009-08-13
Authorized OfficialBradford Picot
Owner/Dentist
Phone: 7043358266
Mailing Address1520 South Blvd, Suite 110
Charlotte, NC 28203-4786
United States
Phone: (704) 335-8266 | Fax: (704) 335-8267
📍 View Map
Primary Practice Address1520 South Blvd, Suite 110
Charlotte, NC 28203-4786
United States
Phone: (704) 335-8266 | Fax: (704) 335-8267
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNC5908420
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No302R00000X – Health Maintenance OrganizationNC8158
Yes1223G0001X – Dentist, General PracticeNC8158
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About NPI 1003048752

Bradford L Picot, Dds, P.a. is an organization registered in the CMS NPPES NPI Registry with NPI number 1003048752. The primary specialty listed is Dentist, General Practice. The organization is located in Charlotte, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-08-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1003048752?

NPI 1003048752 belongs to Bradford L Picot, Dds, P.a., a Dentist, General Practice in Charlotte, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1003048752 active?

The current status of NPI 1003048752 in the NPPES registry is Active. The record was last updated on 2009-08-13.

What specialty is NPI 1003048752?

NPI 1003048752 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1003048752?

You can verify NPI 1003048752 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1003048752?

The primary practice address on file for NPI 1003048752 is 1520 South Blvd, Charlotte, NC 28203-4786. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1003048752 issued?

NPI 1003048752 was first issued (enumerated) on 2009-08-13. The NPPES record was last updated on 2009-08-13.

Practice Location Map

Bradford L Picot, Dds, P.a. is located at 1520 South Blvd, Charlotte, NC. Use the map below to find directions or verify the practice location.

📍 1520 South Blvd, Charlotte, NC 28203-4786  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Bradford L Picot, Dds, P.a.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1003048752. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Health Maintenance Organization8158NC
Dentist, General Practice8158NC
Data Verified from CMS NPPES Last synced: 2026-05-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162