DR. BRADLEY BRENNECKE
NPI 1063593861
Dentist - General Practice in Goshen, OH

Active since October 18, 2006
6782 GOSHEN RD, GOSHEN, OH 45122(513) 722-2933(513) 722-2923 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bradley Brennecke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADLEY BRENNECKE (NPI 1063593861) is an individual general practice provider in Goshen, Ohio, licensed in Ohio (16397) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063593861
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRADLEY BRENNECKE
Location Address6782 GOSHEN RDGoshen, OH 45122-9317
Mailing Address6782 Goshen RdGoshen, OH 45122-9317 · (513) 722-2933 · Fax (513) 722-2923
Fax(513) 722-2923
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1063593861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 16397
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6782 GOSHEN RD, Goshen, OH 45122

Other Identifiers 1

Medicaid2294539OH

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
6782 GOSHEN RD
GOSHEN, OH 45122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Brennecke's NPI number?

The NPI number for Bradley Brennecke is 1063593861. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Bradley Brennecke located?

Bradley Brennecke practices at 6782 Goshen Rd, Goshen, OH 45122. The listed phone number is (513) 722-2933.

What is Bradley Brennecke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Bradley Brennecke accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and MedMutual list Bradley Brennecke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Brennecke was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.