Brent Michael Hurst, DMD, MBA, MS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8933 Issued in KY

Practice address

1779 Highway 44 E Ste 200
Shepherdsville, KY 40165-6132

Phone

(502) 281-4860

Fax

(502) 281-4860

NPI assigned

Jun 25, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Master of Science

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285945154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 EXPEDITION TRL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402915068",
            "telephone_number": "502-797-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 HIGHWAY 44 E STE 200",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656132",
            "telephone_number": "502-281-4860",
            "fax_number": "502-281-4860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Market St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402061838",
            "country_code": "US",
            "telephone_number": "502-596-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "BRENT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD, MBA, MS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8933",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "8933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yini Hu, MPH, RDN, LD
• Christopher W Hubbard, DPM
• Jacob Travis Huellemeier, PT
• Daniel Scott Huelsman, PHARMD
• Jessica Nicole Huff, APRN
• Charlotte Kay Ingwersen, M.D.
• Inspire Physical Therapy
• Iroquois Medical Center,P.S.C.
• Antwoine Jackson
• James T Dodge DO LLC

• Pediatric Dentistry in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.