Brad Lee Rondeau, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901017274 Issued in MI

Practice address

6919 Grand River Avenue
Brighton, MI 48114

Phone

(810) 225-8338

Fax

(810) 225-8333

NPI assigned

Nov 1, 2006

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

Enrolled in MI

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

Practice roles

Locations

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

• Brad L. Rondeau, DDS, PC

  • Dental Clinic/Center
  • Brighton, MI
  • NPI 1063159150
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1447337845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 GRAND RIVER AVENUE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "810-225-8338",
            "fax_number": "810-225-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 GRAND RIVER AVENUE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "810-225-8338",
            "fax_number": "810-225-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDEAU",
        "first_name": "BRAD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira T Robles, MD
• Rachel Rodeheffer, MOT, OTR/L
• James Rogers Jr., LPC
• Giuliano Romano, MD
• Zachary Rombyer
• Root to Rise PLLC
• Madison Root
• Rooted Wellness LLC
• Roots Endodontics PLC
• Jennifer M Ross-Music, LMSW

• Dentist in Brighton, MI
• Providers in Brighton, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.