BRANDON SCOTT ROLLER D.M.D.
NPI 1114949294
Dentist - General Practice in Bristol, TN

Q: What is Brandon Roller's NPI number?

The NPI number for Brandon Roller is 1114949294. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Brandon Roller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Roller was last updated on July 8, 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.

Active since July 24, 2006PECOS Enrolled

401 EDGEMONT AVE, BRISTOL, TN 37620(423) 968-4422(423) 968-3477 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brandon Scott Roller D.m.d. NPPES

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

BRANDON SCOTT ROLLER D.M.D. (NPI 1114949294) is an individual general practice provider in Bristol, Tennessee, licensed in Tennessee (DS0000008407) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114949294

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBRANDON SCOTT ROLLERCredential: D.M.D.

Location Address401 EDGEMONT AVEBristol, TN 37620-2314

Mailing Address401 Edgemont AvenueBristol, TN 37620 · (423) 968-4422 · Fax (423) 968-3477

Phone(423) 968-4422

Fax(423) 968-3477

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114949294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · DS0000008407

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.

401 EDGEMONT AVE, Bristol, TN 37620

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Scott Roller D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

RONNIE W GUEST D.D.S.

Dentist (General Practice)

401 EDGEMONT AVE
BRISTOL, TN 37620

Sullivan County (423) 968-4114

WILLIAM CHRIS SHIPLEY D. D. S.

Dentist (General Practice)

401 EDGEMONT AVE
BRISTOL, TN 37620

Sullivan County (423) 968-4422

DR. FRANK M GEISENHAVER D.D.S.

Dentist (General Practice)

401 EDGEMONT AVE
BRISTOL, TN 37620

Sullivan County (423) 968-4422

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 Brandon Roller's NPI number?

The NPI number for Brandon Roller is 1114949294. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Brandon Roller located?

Brandon Roller practices at 401 Edgemont Ave, Bristol, TN 37620. The listed phone number is (423) 968-4422.

What is Brandon Roller's specialty?

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

Is Brandon Roller enrolled in Medicare?

Yes. Brandon Roller is registered in the Medicare PECOS enrollment system.

What insurance does Brandon Roller accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Brandon Roller 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 Brandon Roller was last updated on July 8, 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.