NPI

Bradley Vergien

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2006-12-27
Last updated
2010-05-20

Specialties

Licenses

License NM
DD1926
License AZ
D3565
License UT
145124-9921
License AK
759

Location

Practice location
1421 Us 491
City
Gallup NM
Postal code
87301
Phone
(505) 863-8000

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Gallup, NM. 2,281 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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