Rebekah R Brevard, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DI022121 Issued in 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

Last updated

Nov 19, 2012By 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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Oral Surgery

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Compassionate Care Oral Surgery LLC

  • Clinic/Center
  • Williamstown, NJ
  • NPI 1962857573
  Medicare reassignment NPD Authorized official
• South Jersey Center for Oral & Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Mays Landing, NJ
  • NPI 1689892606
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1982607891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 898",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082100898",
            "telephone_number": "609-465-4340",
            "fax_number": "609-465-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STONE HARBOR BLVD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102135",
            "telephone_number": "609-465-3111",
            "fax_number": "609-465-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREVARD",
        "first_name": "REBEKAH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI022121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bowen, PA-C
• Meredith Bradley, OT
• William R Bradway, DO
• Braga Urologic LLC
• John Braknis
• Teresa Bridge-Jackson, MD
• Anjeanette Tina Brown, MD
• Kathleen Brown, CRNA
• Stephanie Nelson Brown, LCSW
• Amy Scally Burhanna, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.