Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Benjamin Daniel Bradford, MD

Individual provider Dermatology Physician · NPI 1629336128

Dr. Benjamin Daniel Bradford, MD is an Otolaryngology in Stateline, Nevada. Graduated from Loma Linda University School of Medicine in 2012, 14 years ago. Practices with Martin E. Salm, MD, Ltd, a 3-clinician group and accepts Medicare assignment. Licensed in California, Nevada and New York.

Years since qualifying
14
Trained at
Loma Linda University School of Medicine
Licensed in
CA, NV, NY
In the registry since
2012
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

276 Kingsbury Grade # 101
Stateline, NV 89449-9804
Phone: (775) 588-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 22619 (NV)
Dermatology Physician Taxonomy 207N00000X · Licence 22619 (NV)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence A126409 (CA)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence 286986 (NY)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence 22619 (NV)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 22619 (NV)

Record details

NPI number1629336128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2012
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing addressPo Box 5910, Stateline, NV 89449-5910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesDERMATOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Martin E. Salm, M.D., Ltd. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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