Individual provider Active NPI

Greg A Brouner, DDS

  • Endodontics
  • Reno, NV
National Provider Identifier
1356564090
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
740 Issued in NV
Practice address
1101 West Moana Lane
Suite 4
Reno, NV 89509-4795
Phone
(775) 825-9353
Fax
(775) 825-9397
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 740 NV Primary
General Practice Dentistry 1223G0001X 740 NV

Addresses

Primary practice location

1101 West Moana Lane
Suite 4
Reno, NV 89509-4795

Mailing address

1101 West Moana Lane
Suite 4
Reno, NV 89509-4795
Phone (775) 825-9353

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

LicenseStateTypeSpecialty
740NVMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356564090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WEST MOANA LANE",
            "address_2": "SUITE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094795",
            "telephone_number": "775-825-9353",
            "fax_number": "775-825-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEST MOANA LANE",
            "address_2": "SUITE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094795",
            "telephone_number": "775-825-9353",
            "fax_number": "775-825-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUNER",
        "first_name": "GREG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "740",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.