Trina Marie Bruchal, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00010886 Issued in WA

Practice address

12900 NE 180TH St Ste 215
Bothell, WA 98011-5773

Phone

(425) 939-8428

Fax

(425) 939-8418

NPI assigned

Jul 31, 2007

Last updated

Jul 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3875/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trina Bruchal, DMD, PLLC

  dba Bruchal Orthodontics

  • Dental Clinic/Center
  • Bothell, WA
  • NPI 1033411053
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1023208501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST STE 215",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115773",
            "telephone_number": "425-939-8428",
            "fax_number": "425-939-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST STE 215",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115773",
            "telephone_number": "425-939-8428",
            "fax_number": "425-939-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCHAL",
        "first_name": "TRINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00010886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023208501",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W Brown, RVT
• Megan T Brown, ARNP
• Natalie Joan Brown
• Rebekah Brown, COTA
• Courtnei Browning
• Z Johanna Brugman, OTR/L
• Amelia Bryan
• William A Buchanan, PA-C
• Kathleen Marie Buhler, O.D.
• Sharon Elizabeth Bull, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Bothell, WA
• Providers in Bothell, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.