Brandon Pollard, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2012015422 Issued in MO

Practice address

1008 Country Club Rd
Saint Charles, MO 63303-3364

Phone

(636) 946-0767

NPI assigned

Jun 1, 2012

Last updated

Jun 1, 2012By the provider in NPPES

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 MO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bpollard Investments, LLC

  dba Bogey Hills Dental

  • General Practice Dentistry
  • Saint Charles, MO
  • NPI 1013783117
  NPD Authorized official
• Bogey Hills Dental LLC

  • General Practice Dentistry
  • Saint Charles, MO
  • NPI 1437480712
  NPD (past)

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1508127929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 COUNTRY CLUB RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033364",
            "telephone_number": "636-946-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 COUNTRY CLUB RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033364",
            "telephone_number": "636-946-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2012015422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plaza Healthcare Network
• Jenna Christine Plude, CNP
• Marshall E. Poger, M.D.
• Candra Jamae Poitras, MAC
• Demetrios V Politis, DO
• Christopher D Polzin, MBS, LPC
• Jay L Poole, CRNA
• Nicholas Portell, OD
• Morgan Renee Porter, LCSW
• Dana Powell

• Dentist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.