Brandon Marshall West, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021.002981 Issued in IL

Practice address

9515 Deereco Rd Ste 308
Lutherville Timonium, MD 21093-2152

Phone

(410) 252-0871

NPI assigned

Aug 5, 2019

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

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.

Opted out of Medicare

Yes, effective Feb 24, 2025 through Feb 24, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Karl J. Zeren, D.D.S., LLC

  • Periodontics
  • Timonium, MD
  • NPI 1770816456
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1528613718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 DEERECO RD STE 308",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932152",
            "telephone_number": "410-252-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 DEERECO RD STE 308",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932152",
            "telephone_number": "410-252-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "BRANDON",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032256",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021.002981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Paul Wade II
• Tracy Wallace, LGPC
• Rachel Gabriella Wallick, LMHC
• Pamela C Watkins, LGPC
• Sarah Marie Weitzel, MS CCC-SLP
• Stephanie A Willard, LCPC
• Mary C. Wilson, P.T.
• Wolf Lactation, LLC
• Jennifer Wolf, RN, IBCLC
• York Rd Pharmacy (Lutherville Pharmacy)

• Periodontics in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.