Brandon Craig Veach, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D.0006757-C1 Issued in AL

Practice address

1831 Glynwood Dr
Prattville, AL 36066-5584

Phone

(334) 356-9001

Fax

(334) 401-2131

NPI assigned

Jun 5, 2020

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

Other identifiers 1

Other names 1

• Dr. Brandon Craig Veach Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• GD Al Glynwood PLLC

  dba Glynwood Park Dental Care

  • General Practice Dentistry
  • Prattville, AL
  • NPI 1730881582
  NPD
• Glynwood Park Dental Care

  • General Practice Dentistry
  • Prattville, AL
  • NPI 1164796959
  NPD (past)

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1700400652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 GLYNWOOD DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665584",
            "telephone_number": "334-356-9001",
            "fax_number": "334-401-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 GLYNWOOD DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665584",
            "telephone_number": "334-356-9001",
            "fax_number": "334-401-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Zelda Ct",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361062607",
            "country_code": "US",
            "telephone_number": "334-281-2451",
            "fax_number": "334-281-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEACH",
        "first_name": "BRANDON",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D.0006757-C1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "D.0006757-C1",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "VEACH",
            "middle_name": "CRAIG",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• General Practice Dentistry in Prattville, AL
• Providers in Prattville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.