Individual provider Active NPI

Bryen Barbell, D.M.D.

  • General Practice Dentistry
  • Voorhees, NJ
National Provider Identifier
1659425502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D18637 Issued in NJ
Practice address
2401 E Evesham Rd
Suite B
Voorhees, NJ 08043-9590
Phone
(856) 489-8990
Fax
(856) 489-8992
NPI assigned
Jan 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D18637 NJ Primary

Addresses

Primary practice location

2401 E Evesham Rd
Suite B
Voorhees, NJ 08043-9590

Mailing address

2401 E Evesham Rd
Suite B
Voorhees, NJ 08043-9590
Phone (856) 489-8990

Other identifiers 2

IdentifierTypeStateIssuer
1000665OtherNJDELTA DENTAL OF NJ
511617OtherPAUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20161017001238 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9638467111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D18637NJMDGeneral 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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659425502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E EVESHAM RD",
            "address_2": "SUITE B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439590",
            "telephone_number": "856-489-8990",
            "fax_number": "856-489-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E EVESHAM RD",
            "address_2": "SUITE B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439590",
            "telephone_number": "856-489-8990",
            "fax_number": "856-489-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBELL",
        "first_name": "BRYEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "D18637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF NJ",
            "identifier": "1000665",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "511617",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.