Brent Edward Neubauer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19490 Issued in OH

Practice address

Nas Jacksonville Building 554
Bureau of Medicine & Surgery Detachment Jacksonvill
Jacksonville, FL 32212-0140

Phone

(877) 772-4373

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1295736627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 MOBILE ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567907",
            "telephone_number": "757-430-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAS JACKSONVILLE BUILDING 554",
            "address_2": "BUREAU OF MEDICINE & SURGERY DETACHMENT JACKSONVILL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "877-772-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBAUER",
        "first_name": "BRENT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nettie Loving Care Service
• Brittany Elizabeth Gaspar Nettles, APRN
• Frances S Nettleton, ARNP
• Network Medical, Inc
• Christopher L Netzel
• Daniel Charles Neubauer
• Jennifer Miller Neuenfeldt, OTR/L
• Kristen Lynn Neuharth, MD
• Eric Neumaier, PH.D.
• Carole L. Neuman, M.D.

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.