Individual provider Active NPI

Bruce Craig Bredbeck, DDS

  • Dentist
  • Rochester, MN
National Provider Identifier
1841291523
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D15377 Issued in MN
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

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107001135 CO Order and Referring Only - DentistPractitioner - 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5442COMDChiropractor
D15377MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.