Sharon C. Brackelmanns, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17793 Issued in NJ

Practice address

353 Dover Chester Rd.
Randolph, NJ 07869

Phone

(973) 584-7265

NPI assigned

Aug 8, 2006

Sex

Female

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376552109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 285",
            "city": "IRONIA",
            "state": "NJ",
            "postal_code": "07845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 DOVER CHESTER RD.",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-584-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKELMANNS",
        "first_name": "SHARON",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "17793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BH Brightview Randolph Opco, LLC
• Debra Joyce Biarsky-Karros, OTR
• Melissa Rachel Bierman, MS/OTD, OTR/L
• Joseph Thomas Boorady, O.D.
• Suzanne M Bowen, PTA
• Michael Bravman, DDS
• Samantha Breitbart, CPNP-PC
• Gary S. Brennan, LPC, CADC
• Brighter Pathways Counseling
• Angela Kathleen Browne, PHARMD

• All providers in Randolph, NJ
• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.