William Brell Jr.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

010483 Issued in MO

Practice address

1531 E Sunshine St Ste E10
Springfield, MO 65804-1237

Phone

(417) 883-5866

Fax

(417) 883-5898

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Branson Kids Dental LLC

  • Dental Clinic/Center
  • Branson, MO
  • NPI 1669262150
  NPD (past)
• Heather T Hudkins DDS PC

  • Pediatric Dentistry
  • Springfield, MO
  • NPI 1598803348
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073660007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 E SUNSHINE ST STE E10",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041237",
            "telephone_number": "417-883-5866",
            "fax_number": "417-883-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 E SUNSHINE ST STE E10",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041237",
            "telephone_number": "417-883-5866",
            "fax_number": "417-883-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRELL",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "010483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Breckner, LPC
• Nicole Bredbenner
• Lori R. Breedlove, MD
• Rose M Breitling, N.P.
• Tom W Brekke, B.S, M.S.
• Derrick Bremang, MD
• Tricia Lynn Bremer, LPC, NCC
• Lanny Ross Brent, M.D.
• Theresa Breshears, PLPC
• Ashley N Brest, MA, LPC

• Pediatric Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.