Individual provider Active NPI

Brandyn Herman, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Reno, NV
National Provider Identifier
1689060808
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S2-192 Issued in NV
Practice address
10587 Double R Blvd Ste 100
Reno, NV 89521-8966
Phone
(775) 737-1639
NPI assigned
Apr 14, 2015
Last updated
Jan 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X S2-192 NV Primary

Addresses

Primary practice location

10587 Double R Blvd Ste 100
Reno, NV 89521-8966

Mailing address

10587 Double R Blvd Ste 100
Reno, NV 89521-8966
Phone (775) 737-1639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200720001441 KY Practitioner - Oral Surgery 2769782846 Reassigns benefits to 1 organization
I20240823001093 NV Practitioner - Oral Surgery 2769782846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1105KYMDClinical Social Worker
S2-192NVMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Oral Facial Surgery, Brandyn Herman, PLLC Oral and Maxillofacial Surgery CurrentSince Jun 1, 2023 Accepting new patients
University of Kentucky CurrentSince Jul 10, 2020 Accepting new patients
University of Kentucky CurrentSince Jul 10, 2020 Accepting new patients

Locations

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
#D104
Lexington, KY 40536
Phone (859) 257-1494

10587 Double R Blvd
Ste 100
Reno, NV 89521
Phone (775) 737-1639

Interoperability endpoints

  • Direct secure messaging: bherman21047@ukhcdirect.org

Organizations & group practices 3

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1689060808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10587 DOUBLE R BLVD STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218966",
            "telephone_number": "775-737-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10587 DOUBLE R BLVD STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218966",
            "telephone_number": "775-737-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "BRANDYN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.