Brandon Rodney Wilcox, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

202497 Issued in CO

Practice address

2412 Patterson Rd Ste 7
Grand Junction, CO 81505-1259

Phone

(702) 432-0259

NPI assigned

Jul 6, 2009

Last updated

Aug 25, 2020By the provider in NPPES

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 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

Specialty

DentistAlso: Oral Surgery

Education

University of Michigan School of Dentistry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brandon R Wilcox DDS PLLCGroup PAC ID 5698178267, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health St. Mary's Regional Hospital Hospital, Grand Junction, CO, CCN 060023

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brandon R Wilcox DDS PLLC

  dba JP Dental Implants and Sedation

  • General Practice Dentistry
  • Grand Junction, CO
  • NPI 1851988059
  Medicare reassignment Care Compare group NPD Authorized official
• DDS Vantage PLLC

  • General Practice Dentistry
  • Glenwood Springs, CO
  • NPI 1881319317
  NPD
• Oral Med Solutions LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Grand Junction, CO
  • NPI 1194555334
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary's Hospital and Medical Center, Inc

  dba St Mary's CareFlight

  • Ambulance
  • Grand Junction, CO
  • NPI 1164060877

  Hospital

  Care Compare affiliation
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Anticoagulation Clinic

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1619742806
  Care Compare affiliation
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Hospital & Medical Center Life Center OT/PT/SP

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1821647801
  Care Compare affiliation
• St. Mary's Hospital and Medical Center, Inc.

  dba Intermountain Health St Mary's Regional Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1699716027
  Care Compare affiliation

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1912136482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 PATTERSON RD STE 7",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051259",
            "telephone_number": "702-432-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 PATTERSON RD STE 7",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051259",
            "telephone_number": "702-432-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "BRANDON",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "202497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Rose Wiescamp
• Gabrielle Wiggin
• Kevin S Wight, MSW, LCSW, CACIII
• Gilda Wikoff
• Abbie Gale Wilcox
• Makayla Wilcox
• Pearl Marie Wilcox
• Maria Wilder-Doyle, M.A., LMFT
• Vicki Louise Wilkey, NP
• Michele Anne Wilkie

• Dentist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.