Active NPI
Cohl Ryan Brazil, DDS
- Dentist
- New Braunfels, TX
National Provider Identifier
1265872428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29200
- Practice address
- 2660 Common St, Ste 102
New Braunfels, TX 78130 - Phone
- (830) 302-3304
- NPI assigned
- Jul 2, 2013
- Last updated
- Jan 4, 2017
- 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 | 29200 | TX | Primary |
Addresses
Primary practice location
2660 Common St, Ste 102
New Braunfels, TX 78130
Mailing address
4517 Merle Dr
Austin, TX 78745-1729
Phone (832) 276-2645
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29200 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1265872428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4517 MERLE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451729",
"telephone_number": "832-276-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 COMMON ST, STE 102",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78130",
"telephone_number": "830-302-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZIL",
"first_name": "COHL",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-02",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.