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DR. BRADLEY WILLIAM RENEHAN M.D.DDS
NPI 1255333720
Dentist - Oral and Maxillofacial Surgery in Colorado Springs, CO

Active since August 12, 2005
640 SOUTHPOINTE CT, #150, COLORADO SPRINGS, CO 80906(719) 540-6350(719) 527-9487 Get Directions Write a Review

NPPES record last updated: March 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley William Renehan M.d.dds NPPES

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

DR. BRADLEY WILLIAM RENEHAN M.D.DDS (NPI 1255333720) is an individual oral and maxillofacial surgery provider in Colorado Springs, Colorado, licensed in Colorado (8508) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1255333720
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRADLEY WILLIAM RENEHANCredential: M.D.DDS
Location Address640 SOUTHPOINTE CT, #150Colorado Springs, CO 80906-3856
Mailing Address640 Southpointe Ct, #150Colorado Springs, CO 80906-3856 · (719) 540-6350 · Fax (719) 527-9487
Phone(719) 540-6350
Fax(719) 527-9487
Sole ProprietorYes
Enumeration DateAugust 12, 2005
Last NPPES UpdateMarch 21, 2008
✔ NPI 1255333720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CO · 8508
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
640 SOUTHPOINTE CT, Colorado Springs, CO 80906
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Other Identifiers 2

Medicare UPINH51898CO
Medicaid29054842CO

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 Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. ELIZABETH WINFIELD PIANTANIDA MD
Dermatology
640 SOUTHPOINTE CT, STE 110
COLORADO SPRINGS, CO 80906
El Paso County (719) 228-9488
COLORADO SURGICAL CLINIC, PC
Dentist (Oral and Maxillofacial Surgery)
640 SOUTHPOINTE CT, 150
COLORADO SPRINGS, CO 80906
El Paso County (719) 540-6350

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 Renehan's NPI number?

The NPI number for Bradley Renehan is 1255333720. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Bradley Renehan located?

Bradley Renehan practices at 640 Southpointe Ct #150, Colorado Springs, CO 80906. The listed phone number is (719) 540-6350.

What is Bradley Renehan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Bradley Renehan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Bradley Renehan 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 Renehan was last updated on March 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.