Active NPI
Brandley Tanelus
- Dentist
- Philadelphia, PA
National Provider Identifier
1255285334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10001256
- Practice address
- 202 S 42ND St Apt 2F
Philadelphia, PA 19104-3556 - Phone
- (239) 776-1350
- NPI assigned
- Feb 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN10001256 | MA | Primary |
Addresses
Primary practice location
202 S 42ND St Apt 2F
Philadelphia, PA 19104-3556
Mailing address
4530 E Alhambra Cir
Naples, FL 34103-3258
Phone (239) 776-1350
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1255285334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E ALHAMBRA CIR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033258",
"telephone_number": "239-776-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S 42ND ST APT 2F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043556",
"telephone_number": "239-776-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANELUS",
"first_name": "BRANDLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-24",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10001256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.