Brandywine Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1209025 Issued in IN

Legal business name

BRANDYWINE DENTAL GROUP, P.C.

Practice address

101 N State St
Greenfield, IN 46140-2177

Phone

(317) 462-3456

Fax

(317) 462-3465

NPI assigned

May 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian L. Kirkwood, D.D.SNPI 1881690139

Title

Owner

Phone

(317) 462-3456

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Lee Kirkwood, D.D.S

  • General Practice Dentistry
  • Greenfield, IN
  • NPI 1881690139
  NPD (past) Authorized official
• Trent Kirkwood, DDS

  • General Practice Dentistry
  • Greenfield, IN
  • NPI 1003394438
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215995279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402177",
            "telephone_number": "317-462-3456",
            "fax_number": "317-462-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402177",
            "telephone_number": "317-462-3456",
            "fax_number": "317-462-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-462-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "1209025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "0000000104288",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve Borror, MS,OT
• Malissa S Boyd-Woodard, LCSW
• Heather L Bradfield, NP
• Justin Bradley
• Megan Bradshaw
• Katelyn Bravo
• Danielle Brendle, MOT, OTR
• Makenzie Brinegar
• Claudia I Brinkruff, DIETICIAN
• James D Brinkruff, MD

• General Practice Dentistry in Greenfield, IN
• Providers in Greenfield, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.