Brandon Scott Roller, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000008407 Issued in TN

Practice address

401 Edgemont Ave
Bristol, TN 37620-2314

Phone

(423) 968-4422

Fax

(423) 968-3477

NPI assigned

Jul 24, 2006

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Alamont Dental Associates, P.C.

  • Dentist
  • Bristol, TN
  • NPI 1538343405
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114949294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EDGEMONT AVENUE",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "423-968-4422",
            "fax_number": "423-968-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EDGEMONT AVE",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376202314",
            "telephone_number": "423-968-4422",
            "fax_number": "423-968-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000008407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Risner, MS CF SLP
• Elizabeth Rasnick Roberts, BA
• Heather Roberts, RBT
• Lacy Dawn Robinson, FNP-BC
• Craig Middleton Rockett III, D.D.S.
• Ronda F Smith
• Arianna A Rountree, DPT
• Jennifer Dawn Rouse, LMT
• Michael D Rowell, M.D.
• Jennifer Lynn Rowlett, BS

• General Practice Dentistry in Bristol, TN
• Providers in Bristol, TN by specialty
• General Practice Dentistry in Tennessee

• 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.