Active NPI
Michael A. Brossman, DMD
- Dentist
- Green Bay, WI
National Provider Identifier
1770835969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001465
- Practice address
- 1052 Bel Aire CT
Green Bay, WI 54304-5014 - Phone
- (920) 499-2121
- NPI assigned
- Oct 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Dentist | 122300000X | 6001465 | WI | Primary |
Addresses
Primary practice location
1052 Bel Aire CT
Green Bay, WI 54304-5014
Mailing address
1052 Bel Aire CT
Green Bay, WI 54304-5014
Phone (920) 499-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001465 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Dental Center, PC | Dentist | Past | Accepting new patients |
| Perfect Teeth / Abc P.C. | Dentist | Past | Accepting new patients |
| Sleep Health Wisconsin LLC | Dentist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1427762533
Dentist
-
- Dentist
- Tucson, AZ
- NPI 1811170483
-
- Dentist
- Tucson, AZ
- NPI 1225365703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784419200000",
"number": "1770835969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 BEL AIRE CT",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045014",
"telephone_number": "920-499-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 BEL AIRE CT",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045014",
"telephone_number": "920-499-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSSMAN",
"first_name": "MICHAEL",
"middle_name": "A.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-11",
"last_updated": "2026-07-19",
"certification_date": "2026-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.