Individual provider Active NPI

Brad C Litkenhous, DMD

  • General Practice Dentistry
  • Auburn, AL
National Provider Identifier
1851437396
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5340 Issued in AL
Practice address
1575 Professional Pkwy
Auburn, AL 36830-2858
Phone
(334) 821-2846
Fax
(334) 821-4322
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 5340 AL
General Practice Dentistry 1223G0001X 5340 AL Primary

Addresses

Primary practice location

1575 Professional Pkwy
Auburn, AL 36830-2858

Mailing address

PO Box 2737
Auburn, AL 36831-2737
Phone (334) 821-2846

Other identifiers 2

IdentifierTypeStateIssuer
1756808OtherUNITED CONCORDIA
51537868OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 13, 2016 through Apr 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5340ALMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Vermillion DMD LLC PastSince Nov 7, 2025 Accepting new patients
Brad C Litkenhous, PC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1851437396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2737",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368312737",
            "telephone_number": "334-821-2846",
            "fax_number": "334-821-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302858",
            "telephone_number": "334-821-2846",
            "fax_number": "334-821-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITKENHOUS",
        "first_name": "BRAD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5340",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1756808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51537868",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.