Brandon Humberger

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS040213 Issued in PA

Practice address

2112 North Franklin Drive
Suite 2
Washington, PA 15301-1530

Phone

(724) 223-0579

NPI assigned

Jul 10, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brandon.s.humberger@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oral & Facial Surgery of Pittsburgh, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wexford, PA
  • NPI 1245889740
  NPD (past)
• Nasser Emami DMD DDS Oral & Maxillofacial Surgery Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Steubenville, OH
  • NPI 1205975026
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1366883076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 NORTH FRANKLIN DRIVE",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "15301",
            "telephone_number": "724-223-0579",
            "fax_number": "724-223-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 NORTH FRANKLIN DRIVE",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153011530",
            "telephone_number": "724-223-0579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Johnson Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522372",
            "country_code": "US",
            "telephone_number": "740-264-5300",
            "fax_number": "740-264-4548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMBERGER",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "390200000",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Leigh Hoy, CRNP
• Eleshia D Hradecky, PA-C
• Michael Hrip
• Allen Hu, MD
• Jessica Huff, COTA
• Carly D. Hunter, COTA/L
• Melodee Hursey, MSW
• Jocelyn Rae Idema, D.O
• Uru Ihim
• Inner Circle Home Care, LLC

• Oral and Maxillofacial Surgery (Dentist) in Washington, PA
• Providers in Washington, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.