Individual provider Active NPI

Bramley Birrer, D.D.S.

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1245581016
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60745689 Issued in WA
Practice address
9730 3Rd Ave NE Ste 205
Seattle, WA 98115-2023
Phone
(206) 367-6453
Fax
(877) 261-7379
NPI assigned
Sep 19, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10192 TN
General Practice Dentistry 1223G0001X 61570 CA
General Practice Dentistry 1223G0001X DE60745689 WA Primary

Addresses

Primary practice location

9730 3Rd Ave NE Ste 205
Seattle, WA 98115-2023

Mailing address

16191 Eagle LN
Huntington Beach, CA 92649-2448
Phone (714) 316-8221

Other practice location 1

160 Movie Row
Smyrna, TN 37167-6532
Phone (615) 930-9606

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60745689WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bramley Birrer DDS PLLC General Practice Past Accepting new patients
Smyrna Modern Dentistry, PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245581016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16191 EAGLE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492448",
            "telephone_number": "714-316-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 3RD AVE NE STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152023",
            "telephone_number": "206-367-6453",
            "fax_number": "877-261-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Movie Row",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676532",
            "country_code": "US",
            "telephone_number": "615-930-9606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRRER",
        "first_name": "BRAMLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10192",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61570",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60745689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.