Active NPI
Brennan Ertl
- Dentist
- Oxford, PA
National Provider Identifier
1285471425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044780
- Practice address
- 306 Limestone Rd
Oxford, PA 19363-1233 - Phone
- (610) 932-9580
- NPI assigned
- Jul 15, 2024
- Last updated
- Sep 16, 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 | DS044780 | PA | Primary |
Addresses
Primary practice location
306 Limestone Rd
Oxford, PA 19363-1233
Mailing address
124 Gideon Dr
Kennett Square, PA 19348-1554
Phone (916) 207-5518
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 |
|---|---|---|---|
| DS044780 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1285471425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 GIDEON DR",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193481554",
"telephone_number": "916-207-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 LIMESTONE RD",
"city": "OXFORD",
"state": "PA",
"postal_code": "193631233",
"telephone_number": "610-932-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERTL",
"first_name": "BRENNAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-15",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.