Theresa Anne Benyo-Bracale, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS-026289-L Issued in PA

Practice address

404 N Lewis Rd
Royersford, PA 19468-1511

Phone

(610) 948-5552

NPI assigned

Nov 6, 2013

Sex

Female

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 PA

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.

• Benyo and Bracale,L.L.C.

  • Dentist
  • Royersford, PA
  • NPI 1205014180
  NPD (past)
• Daniel Cha DDS PC

  • Dental Clinic/Center
  • Royersford, PA
  • NPI 1750808465
  NPD (past)

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1609205012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N LEWIS RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681511",
            "telephone_number": "610-948-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N LEWIS RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681511",
            "telephone_number": "610-948-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYO-BRACALE",
        "first_name": "THERESA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-026289-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bartolomucci, IBCLC
• Beacon Health Solutions Inc
• Beacon Integrated Health Solutions PC
• Eric Sean Benedetti, DC
• Benyo and Bracale,L.L.C.
• Katherine E Bertrand, CRNP
• Francesca Bogiatzis, DC
• Joyce Bond, PHYSICIAN ASSISTANT
• Anne T Boyer, CRNA
• Jack Bracale, D.M.D,

• Dentist in Royersford, PA
• Providers in Royersford, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.