Kari L Brawley – General Practice Dentistry

Key facts

NPI: 1780717397
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 22217 (TX)
Practice address: 110 N Washington St
La Grange, TX 78945-2627
Phone: (979) 968-5813
Fax: (979) 968-5815
NPI assigned: Mar 13, 2007
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Brawley Dental Clinic, PLLC General Practice Dentistry · La Grange, TX · NPI 1730610007

NPD (past) Authorized official GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Brawley Dental Clinic, PLLC	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	22217	TX
General Practice Dentistry	1223G0001X	22217	TX	Yes

Addresses

Primary practice location

110 N Washington St
La Grange, TX 78945-2627

Mailing address

110 N Washington St
La Grange, TX 78945-2627
Phone (979) 968-5813

Electronic endpoints

Type	Endpoint	Use	Affiliation
Other URL	brawleydental.com	Direct

Other providers in La Grange, TX

All providers in La Grange, TX · General Practice Dentistry in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.