Michele Edith Brucker-Collier, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01220100 Issued in NJ

Practice address

1480 Ocean Ave
Sea Bright, NJ 07760-2226

Phone

(732) 530-5566

Fax

(732) 530-8625

NPI assigned

May 7, 2007

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 names 1

• Dr. Michele Edith Brucker Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104039460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 OCEAN AVE",
            "city": "SEA BRIGHT",
            "state": "NJ",
            "postal_code": "077602226",
            "telephone_number": "732-530-5566",
            "fax_number": "732-530-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 OCEAN AVE",
            "city": "SEA BRIGHT",
            "state": "NJ",
            "postal_code": "077602226",
            "telephone_number": "732-530-5566",
            "fax_number": "732-530-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKER-COLLIER",
        "first_name": "MICHELE",
        "middle_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01220100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "BRUCKER",
            "middle_name": "EDITH",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin M Caldarella, PT
• Kevin Bradley Collier, DMD
• Lindsay David, LPC
• Dignity Care Medical Concierge, PA
• Jennifer Benna Consulting

• Dentist in Sea Bright, NJ
• Providers in Sea Bright, NJ by specialty
• Dentist in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.