Mark Anthony Brabston Sr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D101141600 Issued in NJ

Practice address

C 1 Cornwall Court
East Brunswick, NJ 08816-3331

Phone

(732) 238-0662

NPI assigned

Oct 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336239755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GALICIA WAY",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313519",
            "telephone_number": "732-521-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C 1 CORNWALL COURT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163331",
            "telephone_number": "732-238-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABSTON",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101141600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL PLAN OF NJ",
            "identifier": "2222GIANTS",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bowden, LCSW
• John Andrew Bowe Jr., M.D.
• Richard Joseph Bowe, LPC , LCADC
• Yolanda A. Boyd
• Elena G Boyle, LPC, LCADC
• Aja Bradley
• Carol Brady, BC-HIS
• Granville York Brady Jr., AUD
• Brain and Spine Institute of Ny and NJ
• Mark Paul Bramwit, MD

• General Practice Dentistry in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.