Brennan Garth Hansen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D.007223-C1 Issued in AL

Practice address

4616 Montevallo Rd
Irondale, AL 35210-3104

Phone

(205) 202-9540

NPI assigned

Mar 29, 2023

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

Medicare fee-for-service enrollment

Enrolled in AL

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

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.

• Birmingham Emergency Dental

  • Dental Clinic/Center
  • Irondale, AL
  • NPI 1083446025
  NPD Authorized official
• Memphis Emergency Dental

  • Dental Clinic/Center
  • Memphis, TN
  • NPI 1508736448
  NPD Authorized official
• Memphis Family and Cosmetic Dentistry

  • Dental Clinic/Center
  • Memphis, TN
  • NPI 1245107200
  NPD Authorized official
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  NPD (past)

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1457055618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 ASHWOOD LN",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352091259",
            "telephone_number": "307-315-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 MONTEVALLO RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352103104",
            "telephone_number": "205-202-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BRENNAN",
        "middle_name": "GARTH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.007223-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grey Space LLC
• Ada Michelle Griffin
• Megan Groth, OTA
• Guardian Pharmacy of Birmingham LLC
• Julie Gulledge, SLP
• Harold E Simon, MD, LLC
• Shannon Marie Harris, OTR
• Eric Hayes
• Joshua Lee Hendrix, PTA
• Herring Chiropractic Center, LLC

• Dentist in Irondale, AL
• Providers in Irondale, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.