Bradley George Kegler, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08727 Issued in IA

Practice address

206 3Rd Ave NE
Independence, IA 50644-1950

Phone

(319) 334-3342

Fax

(319) 334-6811

NPI assigned

Sep 2, 2010

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

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 Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Not 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.

• Kegler,Kegler & Arend,P.C.

  • General Practice Dentistry
  • Independence, IA
  • NPI 1649362286
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1598072142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 3RD AVE NE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506441950",
            "telephone_number": "319-334-3342",
            "fax_number": "319-334-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 3RD AVE NE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506441950",
            "telephone_number": "319-334-3342",
            "fax_number": "319-334-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGLER",
        "first_name": "BRADLEY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independence Ia Skilled Nursing Facility, LLC
• Duane Donald Jasper, MD FP
• Theresa Johnson, MS OTR/L
• Chyanne Kalishek
• Carrie Marie McDaniel Kearns, O.D.
• Daniel George Kegler, DDS
• Kegler,Kegler & Arend,P.C.
• Maxine K Kehret, R.D.,L.D.
• Jennifer Kemps
• Bethany Kohlmeyer, MSW

• General Practice Dentistry in Independence, IA
• Providers in Independence, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.