Active NPI
Bruce Craig Bredbeck, DDS
- Dentist
- Rochester, MN
National Provider Identifier
1841291523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15377
- Practice address
- 4273 W Circle Dr NW
Rochester, MN 55901-8788 - Phone
- (217) 540-8386
- NPI assigned
- Aug 3, 2005
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D15377 | MN | Primary |
| General Practice Dentistry | 1223G0001X | 5442 | CO |
Addresses
Primary practice location
4273 W Circle Dr NW
Rochester, MN 55901-8788
Mailing address
4273 W Circle Dr NW Ste 311
Rochester, MN 55901-8788
Phone (303) 773-2273
Other practice location 1
7600 E Arapahoe Rd
Ste 311
Centennial, CO 80112-1260
Phone (303) 773-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160107001135 | CO | Order and Referring Only - Dentist | 0749582799 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5442 | CO | MD | Chiropractor |
| D15377 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Teeth - Arapahoe P.C. | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Centennial, CO
- NPI 1275653073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1841291523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4273 W CIRCLE DR NW STE 311",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559018788",
"telephone_number": "303-773-2273",
"fax_number": "303-713-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4273 W CIRCLE DR NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559018788",
"telephone_number": "217-540-8386"
}
],
"practiceLocations": [
{
"address_1": "7600 E Arapahoe Rd",
"address_2": "Ste 311",
"address_purpose": "LOCATION",
"city": "Centennial",
"state": "CO",
"postal_code": "801121260",
"country_code": "US",
"telephone_number": "303-773-2273",
"fax_number": "303-713-9887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREDBECK",
"first_name": "BRUCE",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15377",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "5442",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.