Active NPI
Julie Brann, DMD
- Endodontics
- Lawrenceville, GA
National Provider Identifier
1134587033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN123377
- Practice address
- 559 Old Norcross Rd
Lawrenceville, GA 30046-4313 - Phone
- (770) 339-4440
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN123377 | GA | Primary |
| General Practice Dentistry | 1223G0001X | 04576 | NH |
Addresses
Primary practice location
559 Old Norcross Rd
Lawrenceville, GA 30046-4313
Mailing address
559 Old Norcross Rd
Lawrenceville, GA 30046-4313
Phone (770) 339-4440
Other practice location 1
5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Phone (215) 456-7130
Other practice location 2
22 Greeley St Ste 11
Merrimack, NH 03054-4460
Phone (603) 424-7676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123377 | GA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1134587033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464313",
"telephone_number": "770-339-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464313",
"telephone_number": "770-339-4440"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413098",
"country_code": "US",
"telephone_number": "215-456-7130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 Greeley St Ste 11",
"address_purpose": "LOCATION",
"city": "Merrimack",
"state": "NH",
"postal_code": "030544460",
"country_code": "US",
"telephone_number": "603-424-7676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANN",
"first_name": "JULIE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2024-06-26",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "DN123377",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "04576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.