Braswell E. Collins Jr., D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7851 Issued in GA

Practice address

2160 Vineville Ave
Macon, GA 31204-3124

Phone

(478) 742-4332

Fax

(478) 742-7811

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1316134174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043124",
            "telephone_number": "478-742-4332",
            "fax_number": "478-742-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043124",
            "telephone_number": "478-742-4332",
            "fax_number": "478-742-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BRASWELL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "7851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lusendia Collier, FNP-C
• Samuel Scott Collier, NP
• Carol Lynn Collings, MD
• Amy Vardeman Collins, PA-C
• Bradley Kelvin Collins, DPT
• Dania Debbie Ann Collis, LCSW
• Colorectal Surgery Associates P C
• Roxana Maria Coman, MD
• Bree Annette Comer, MD
• Communication Dynamics

• Orthodontics and Dentofacial Orthopedics Dentistry in Macon, GA
• Providers in Macon, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.