Martin Broermann, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2788 Issued in AZ

Practice address

8600 E Via de Ventura
Suite 203
Scottsdale, AZ 85258-3323

Phone

(480) 948-2881

Fax

(480) 607-3806

NPI assigned

Oct 14, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588754907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 E VIA DE VENTURA",
            "address_2": "SUITE 203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583323",
            "telephone_number": "480-948-2881",
            "fax_number": "480-607-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 E VIA DE VENTURA",
            "address_2": "SUITE 203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583323",
            "telephone_number": "480-948-2881",
            "fax_number": "480-607-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROERMANN",
        "first_name": "MARTIN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Lynn Brock, MPH, RD, LDN, NMD
• Jennifer Brodie, N.P.
• Michael Jarrett Brodkin, P.A.
• Tara L Brodkin, MD
• Kyle R Brody, LPC
• Wayne S Broky, M.D.
• Kimberlee J Brontsema, PA-C
• Amber N Brooks-Gumbert, P.A.-C.
• Jessica Brooks, CFY-SLP
• Krista Nixon Brooks

• Orthodontics and Dentofacial Orthopedics Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.