Wendy Broussard Poczatek, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5381 Issued in AL

Practice address

5751 Pocahontas Rd Ste a
Suite a
Bessemer, AL 35022-5478

Phone

(205) 477-4242

Fax

(205) 477-4243

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in AL

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

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1104966340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 AUGUSTA LN",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 POCAHONTAS RD STE A",
            "address_2": "SUITE A",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225478",
            "telephone_number": "205-477-4242",
            "fax_number": "205-477-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCZATEK",
        "first_name": "WENDY",
        "middle_name": "BROUSSARD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Player, M.D.
• Ashley Pleasant, LCSW
• PNL Medical LLC
• John Stefan Poczatek, DMD
• Ted Marek Poczatek, D.M.D.
• Melissa Pontius, OT
• Christopher Joseph Portante, D.O.
• John R Porterfield Jr., MD
• Andrew Posey, DO
• Michele R Postma, M.D.

• General Practice Dentistry in Bessemer, AL
• Providers in Bessemer, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.