Individual provider Active NPI

Brigette Nicole Zebro, D.D.S.

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1629381892
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6914 Issued in SC
Practice address
119 W Antrim Dr
Greenville, SC 29607-2505
Phone
(864) 242-2848
Fax
(864) 242-2844
NPI assigned
Jul 16, 2010
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6914 SC Primary

Addresses

Primary practice location

119 W Antrim Dr
Greenville, SC 29607-2505

Mailing address

119 W Antrim Dr
Greenville, SC 29607-2505
Phone (864) 242-2848

Medicare participation

Medicare enrollment files
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 Dec 2, 2015 through Dec 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6914SCMDGeneral Practice Dentistry

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1629381892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W ANTRIM DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072505",
            "telephone_number": "864-242-2848",
            "fax_number": "864-242-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W ANTRIM DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072505",
            "telephone_number": "864-242-2848",
            "fax_number": "864-242-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBRO",
        "first_name": "BRIGETTE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "6914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.