JEROD WILSON BRAZEAL D.D.S.
NPI 1144516311
Dentist - Pediatric Dentistry in Arlington, TX

Active since June 25, 2011
696 N FIELDER RD STE 102, ARLINGTON, TX 76012(817) 261-9772 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 21, 2018 (2 updates tracked since 2018).

About Jerod Wilson Brazeal D.d.s. NPPES

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

JEROD WILSON BRAZEAL D.D.S. (NPI 1144516311) is an individual pediatric dentistry provider in Arlington, Texas, licensed in Texas (27094) and active in the NPI registry since June 2011. He maintains a secondary practice location in Benbrook.

NPPES Registry Identity

NPI1144516311
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJEROD WILSON BRAZEALCredential: D.D.S.
Location Address696 N FIELDER RD STE 102Arlington, TX 76012-3861
Mailing Address4200 Bryant Irvin Rd Ste 129Benbrook, TX 76109-4212 · (817) 731-6964 · Fax (817) 731-4273
Sole ProprietorYes
Enumeration DateJune 25, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1144516311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 27094
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 27094 (TX)
696 N FIELDER RD STE 102, Arlington, TX 76012

Secondary Practice Location 1

Location 14200 Bryant Irvin Rd Ste 129Benbrook, TX 76109-4212 · Phone (817) 731-6964 · Fax (817) 731-4273

Accepted Insurance

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 Jerod Brazeal's NPI number?

The NPI number for Jerod Brazeal is 1144516311. It was assigned to this individual provider in the NPPES registry on June 25, 2011.

Where is Jerod Brazeal located?

Jerod Brazeal practices at 696 N Fielder Rd Ste 102, Arlington, TX 76012. The listed phone number is (817) 261-9772.

What is Jerod Brazeal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jerod Brazeal accept?

Health plans from Delta Dental PPO, Guardian and Humana list Jerod Brazeal 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 Jerod Brazeal was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.