Active NPI
Amy Bhagaloo, DMD
- Dentist
- Fort Rucker, AL
National Provider Identifier
1073429007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14290733-9926
- Practice address
- Brown Dental Clinic, Building 4405 on 5TH Ave
Fort Rucker, AL 36362 - Phone
- (860) 994-0015
- NPI assigned
- Aug 20, 2026
- Last updated
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14290733-9926 | UT | Primary |
Addresses
Primary practice location
Brown Dental Clinic, Building 4405 on 5TH Ave
Fort Rucker, AL 36362
Mailing address
Brown Dental Clinic, Building 4405 on 5TH Ave
Fort Rucker, AL 36362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1073429007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROWN DENTAL CLINIC, BUILDING 4405 ON 5TH AVE",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "36362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROWN DENTAL CLINIC, BUILDING 4405 ON 5TH AVE",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "860-994-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAGALOO",
"first_name": "AMY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "14290733-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.