Bret a. Avra, DMD, PSC.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6283 Issued in KY

Legal business name

BRET A. AVRA, DMD, PSC.

Practice address

2605 Kentucky Ave
Ste #302
Paducah, KY 42003-3800

Phone

(270) 443-1717

Fax

(270) 443-0517

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bret A Avra, DMDNPI 1144230079

Title

President

Phone

(270) 443-1717

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bret A Avra, D,M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Paducah, KY
  • NPI 1144230079
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093887937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVENUE",
            "address_2": "STE #302",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033801",
            "telephone_number": "270-443-1717",
            "fax_number": "270-443-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "address_2": "STE #302",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033800",
            "telephone_number": "270-443-1717",
            "fax_number": "270-443-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET A. AVRA, DMD, PSC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVRA",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-443-1717",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "6283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS KY",
            "identifier": "000000316468",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "560132",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Bray, APRN
• John W Brazzell, MD
• Alessa Marie Brennan, B.C.B.A.
• Natalie Beth Brenningmeyer, ARNP
• Wendy G Brenningmeyer, CRNA
• Ashlee Nicole Brewer, APRN
• Donald Scott Bridges, D.M.D.
• Lisa Michele Bridges, RNC
• James Butler Brien III, M.D.
• Jennifer Walton Brien, MD

• Oral and Maxillofacial Surgery (Dentist) in Paducah, KY
• Providers in Paducah, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.