William Paul Brakebill Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1127 Issued in TN

Practice address

966 Lakeside Rd
Madisonville, TN 37354-6231

Phone

(865) 458-4479

Fax

(423) 442-4290

NPI assigned

Mar 30, 2007

Last updated

Apr 12, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1184744393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 LAKESIDE RD",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373546231",
            "telephone_number": "865-458-4479",
            "fax_number": "423-442-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 LAKESIDE RD",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373546231",
            "telephone_number": "865-458-4479",
            "fax_number": "423-442-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKEBILL",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex R Boller, PA-C
• Teresa Lorreen Bond, LMT
• Kelsey Boring, SLP
• Linda W Boyatt, ARNP
• Valerie Boyd, DIS
• Tyler Branscum, PA-C
• Christin Breeding, PA-C
• Mark A Britton, DDS
• Douglas Brooks, PHARMD
• Justin Brown, PT

• Dentist in Madisonville, TN
• Providers in Madisonville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.