DR. BRIAN TIMOTHY BRACKEN DMD
NPI 1063764025
Dentist - Orthodontics and Dentofacial Orthopedics in Sumter, SC

Active since October 15, 2012
1121 BROAD ST, SUMTER, SC 29150(201) 919-1950 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brian Timothy Bracken Dmd NPPES

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

DR. BRIAN TIMOTHY BRACKEN DMD (NPI 1063764025) is an individual orthodontics and dentofacial orthopedics provider in Sumter, South Carolina, licensed in Virginia (0401418752) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1063764025
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. BRIAN TIMOTHY BRACKENCredential: DMD
Location Address1121 BROAD STSumter, SC 29150-1902
Mailing Address31 Frogmore RdMt Pleasant, SC 29464-6651 · (201) 919-1950
Sole ProprietorYes
Enumeration DateOctober 15, 2012
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
NPI 1063764025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in VA · 0401418752 Licensed in SC · DGD8524
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

1121 BROAD ST, Sumter, SC 29150

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
1121 BROAD ST
SUMTER, SC 29150
Dentist (General Practice)
1121 BROAD ST
SUMTER, SC 29150
Dentist (General Practice)
1121 BROAD ST
SUMTER, SC 29150
Dentist (General Practice)
1121 BROAD ST
SUMTER, SC 29150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063764025, enumerated as an "individual" on October 15, 2012.

The provider is located at 1121 BROAD ST SUMTER, SC 29150 and the phone number is (201) 919-1950.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.