Alpine Oral Facial Surgery, Brandyn Herman, PLLC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Reno, NV
NPI 1104530161 · NPPES record last updated May 3, 2023
Key facts
- NPI
- 1104530161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- Legal business name
- ALPINE ORAL FACIAL SURGERY, BRANDYN HERMAN, PLLC
- Practice address
- 10587 Double R Blvd Ste 100
Reno, NV 89521-8966 - Phone
- (775) 737-1639
- NPI assigned
- Jan 12, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Brandyn Herman, DMD
- Title
- Owner
- Phone
- (775) 737-1639
Practitioners 1
-
Brandyn Herman, DMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230613001526 | NV | Part B Supplier - Clinic/Group Practice | 3779940317 |
Receives reassigned benefits from 1 practitioner Practice locations: Reno, NV |
National Provider Directory
Locations
10587 Double R Blvd
Ste 100
Reno, NV 89521
Phone (775) 737-1639
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | Yes |
Addresses
Primary practice location
10587 Double R Blvd Ste 100
Reno, NV 89521-8966
Mailing address
10587 Double R Blvd Ste 100
Reno, NV 89521-8966
Phone (775) 971-4861
Other names
- Alpine Oral Facial Surgery
Other providers in Reno, NV
- Rosa Alonso-Ibarra
- Daniel Alonso
- Viola Vidal Alonzo Manglio
- Raul Alonzo
- Edward I Alper
- Alpine Speech Therapy LLC
- Jardine Alquero
- Ghayda Alrass
- Christina Alsop
- Amy Elizabeth Alspach
All providers in Reno, NV · Oral and Maxillofacial Surgery (Dentist) in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.