Brannon W Heape, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D.5941 Issued in AL

Practice address

2971 Corporate Park Dr
Opelika, AL 36801-7283

Phone

(334) 749-3436

Fax

(334) 749-3223

NPI assigned

Apr 13, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ofs-Ea, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Opelika, AL
  • NPI 1427821909
  NPD (past)
• Ofs, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Auburn, AL
  • NPI 1497997795
  NPD (past)
• Southeastern-Oms, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Dothan, AL
  • NPI 1609615871
  NPD (past)

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1023375235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017352",
            "telephone_number": "910-762-2618",
            "fax_number": "910-763-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 CORPORATE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017283",
            "telephone_number": "334-749-3436",
            "fax_number": "334-749-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Department Of Surgical & Hospital Dentistry",
            "address_2": "School of Dentistry, Room 148",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402920001",
            "country_code": "US",
            "telephone_number": "502-852-5083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 N Dean Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368304027",
            "country_code": "US",
            "telephone_number": "334-749-3436",
            "fax_number": "334-749-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAPE",
        "first_name": "BRANNON",
        "middle_name": "W",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "D.5941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Taylor Haynes, M.D.
• Jessica Audrey Haynie, CRNP
• Qua'Niya Head
• Health & Rehabilitation Specialists, PC
• Healthstat Onsite Clinic MVM Sage
• Felicia Lashawn Heard, NP
• Madeline Hearn, DO
• Heart of the Matter, LLC
• Hearth & Harbor Wellness LLC
• Heath Harvey'S Inc. of Alabama

• Oral and Maxillofacial Surgery (Dentist) in Opelika, AL
• Providers in Opelika, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.