Individual provider Active NPI

Brank B Debruhl, DENTIST DDS

  • General Practice Dentistry
  • Middletown, IN
National Provider Identifier
1922210855
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6933 Issued in IN
Practice address
4573 East State Rd 236
Brank B Debruhl DDS
Middletown, IN 47356
Phone
(765) 354-4796
Fax
(765) 354-4794
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6933 IN Primary

Addresses

Primary practice location

4573 East State Rd 236
Brank B Debruhl DDS
Middletown, IN 47356

Mailing address

4573 East State Rd 236
Brank B Debruhl DDS
Middletown, IN 47356
Phone (765) 354-4796

Other names 1

  • Dr. Brank B Debruhl Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6933INMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922210855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4573 EAST STATE RD 236",
            "address_2": "BRANK B DEBRUHL DDS",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "47356",
            "telephone_number": "765-354-4796",
            "fax_number": "765-354-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4573 EAST STATE RD 236",
            "address_2": "BRANK B DEBRUHL DDS",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "47356",
            "telephone_number": "765-354-4796",
            "fax_number": "765-354-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRUHL",
        "first_name": "BRANK",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DENTIST DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "6933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANK",
            "last_name": "DEBRUHL",
            "middle_name": "B",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Middletown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.