Mark Brodhagen, DDS

ActiveIndividual ProviderDentistry
NPI issued: December 19, 2005

Quick Facts

NPI Number
1760468136
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(920) 499-2121
StateWI

NPI Validation Status: Verified

Valid 10-digit NPI number (1760468136)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 19, 2005)
Data source: CMS NPPES

Provider Overview

MARK BRODHAGEN, DDS is a Dentistry provider based in Green Bay, WI who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1760468136
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateDecember 19, 2005

Practice Location

CityGreen Bay
StateWI
ZIP Code54304-5015
Phone(920) 499-2121

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateWI

Mailing Address

CityGreen Bay
StateWI
ZIP Code54304-5015
Phone(920) 499-2121
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1760468136 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1760468136for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1760468136 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Mark Brodhagen's NPI number?
Mark Brodhagen's NPI number is 1760468136, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mark Brodhagen's NPI currently active?
Yes, Mark Brodhagen's NPI status is Active as of the latest CMS NPPES database updates.
What does Mark Brodhagen specialize in?
Mark Brodhagen specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Mark Brodhagen practice?
Mark Brodhagen practices in Green Bay, WI 54304-5015.
When was Mark Brodhagen's NPI issued?
Mark Brodhagen's NPI was issued on December 19, 2005.
What is Mark Brodhagen's provider type?
Mark Brodhagen is registered as an Individual Provider under CMS NPI Type 1.