Herbert N Bretl, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5378-015 Issued in WI

Practice address

223 S 3Rd Ave
Edgar, WI 54426-9281

Phone

(715) 352-2700

Fax

(715) 842-4369

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 WI

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Szmanda Dental Center, SC

  • Dentist
  • Edgar, WI
  • NPI 1962658609
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164506911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 SHOREY AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544765648",
            "telephone_number": "715-355-7077",
            "fax_number": "715-842-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S 3RD AVE",
            "city": "EDGAR",
            "state": "WI",
            "postal_code": "544269281",
            "telephone_number": "715-352-2700",
            "fax_number": "715-842-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETL",
        "first_name": "HERBERT",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5378-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspirus Wausau Hospital Inc (Aspirus Edgar Clinic)
• Davida Ann Berenz, RN
• Edgar Volunteer Fire Dept
• Heidi L Haasl Vanornum
• Amy Jacobs, RN
• Kaiser Adult Family Care, LLC
• Katie Lynn Kaiser

• General Practice Dentistry in Edgar, WI
• Providers in Edgar, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.