Rebekah R Brevard, DMD
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Cape May Court House, NJ
NPI 1982607891 · NPPES record last updated Nov 19, 2012
Key facts
- NPI
- 1982607891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- DI022121 (NJ)
- Practice address
- 101 Stone Harbor Blvd
Cape May Court House, NJ 08210-2135 - Phone
- (609) 465-3111
- Fax
- (609) 465-5064
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Oral Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1035 N Black Horse Pike
Williamstown, NJ 08094-2840
Phone (856) 740-1300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051026000020 | NJ | Practitioner - Oral Surgery |
1759313521 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI022121 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Care Oral Surgery LLC | Current |
Accepting new patients | |
| South Jersey Center for Oral & Maxillofacial Surgery, LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
1035 N Black Horse Pike
Ste 7
Williamstown, NJ 08094
Phone (856) 740-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DI022121 | NJ | Yes |
Addresses
Primary practice location
101 Stone Harbor Blvd
Cape May Court House, NJ 08210-2135
Mailing address
PO Box 898
Cape May Court House, NJ 08210-0898
Phone (609) 465-4340
Other providers in Cape May Court House, NJ
- Robert Bowen
- Meredith Bradley
- William R Bradway
- Braga Urologic LLC
- John Braknis
- Teresa Bridge-Jackson
- Anjeanette Tina Brown
- Kathleen Brown
- Stephanie Nelson Brown
- Amy Scally Burhanna
All providers in Cape May Court House, NJ · Oral and Maxillofacial Surgery (Dentist) in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.