BRENDAN WILLE
NPI 1275384463
Dentist in New York, NY

Q: What is Brendan Wille's NPI number?

The NPI number for Brendan Wille is 1275384463. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Q: What is Brendan Wille's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Brendan Wille was last updated on September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 March 27, 2024PECOS Enrolled

51 E 125TH ST, NEW YORK, NY 10035(646) 827-9819 Get Directions Write a Review

NPPES record last updated: September 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2025, Aug 11, 2025 (2 updates tracked since 2025).

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About Brendan Wille NPPES

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

BRENDAN WILLE (NPI 1275384463) is an individual dentist in New York, New York, licensed in New York (064999) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland At Baltimore School Of Dentistry (2024).

NPPES Registry Identity

NPI1275384463

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameBRENDAN WILLE

Location Address51 E 125TH STNew York, NY 10035-1685

Mailing Address1206 Saddleback WayBel Air, MD 21014-1828 · (443) 987-8422

Phone(646) 827-9819

Sole ProprietorYes

Medical School CMSUniversity Of Maryland At Baltimore School Of DentistryGraduated 2024

Enumeration DateMarch 27, 2024

Last NPPES UpdateSeptember 6, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2025

✔ NPI 1275384463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 064999

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

51 E 125TH ST, New York, NY 10035

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendan Wille is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608340328

PECOS Enrollment IDI20260703000143

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 10035 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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 8

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

YANA GODMACH LCSW

Social Worker (Clinical)