David Charles Brandenburg, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102214 Issued in MD

Practice address

7115 Guilford Dr
Ste 101
Frederick, MD 21704-5199

Phone

(240) 379-1550

Fax

(301) 662-6879

NPI assigned

Jun 12, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Byrd Dental Health Center

  • General Practice Dentistry
  • Frederick, MD
  • NPI 1912272295
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1811259260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 GUILFORD DR",
            "address_2": "STE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045199",
            "telephone_number": "240-379-1550",
            "fax_number": "301-662-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 GUILFORD DR",
            "address_2": "STE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045199",
            "telephone_number": "240-379-1550",
            "fax_number": "301-662-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "102214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braddock Heights Healthcare, LLC
• Helena Brader, PA-C
• Latasha Branch, LGPC
• Steven J. Brand, M.D
• Brandy Lynn Brandenburg, LCSW-C
• Branislav S Romanic MD LLC
• Gabriela Brantmier
• Brauer & Associates, PC
• Emily Brecht
• Jennifer Lyn Brengel

• Dentist in Frederick, MD
• Providers in Frederick, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.