Jennifer L Broers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020629 Issued in MI

Practice address

3036 French Rd
Alpena, MI 49707-8141

Phone

(989) 358-3946

Fax

(989) 358-3724

NPI assigned

May 23, 2012

Last updated

Jan 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jennifer.broers.p1@direct.alcona.nextgenshare.com

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1942560933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 FRENCH RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497078141",
            "telephone_number": "989-358-3946",
            "fax_number": "989-358-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 S State St",
            "address_purpose": "LOCATION",
            "city": "Oscoda",
            "state": "MI",
            "postal_code": "487501635",
            "country_code": "US",
            "telephone_number": "989-739-7927",
            "fax_number": "989-358-3754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROERS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.broers.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3036 French Rd",
            "city": "Alpena",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497078141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.broers.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "208 S State St",
            "city": "Oscoda",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487501635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Bradby, LMT
• Pamela Brenton, RN
• Brianna Bodary Therapy, PLLC
• John Bright
• Lee Roy Britton, M.D.
• Chloe Brothers
• Sharon Brousseau, LPC
• Ryan James Brown, MA
• Jessica Bruning, MD
• Victor Bruning

• General Practice Dentistry in Alpena, MI
• Providers in Alpena, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.

Verify at the official NPI Registry.