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BRENDAN WILLE
NPI 1275384463
Dentist in New York, NY

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: November 08, 2026.

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

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
Open in Google Maps ↗

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Brendan Wille reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Century Medical & Dental Center Inc
15 mi
Health Service
260 AVENUE X
Brooklyn, NY 11223
  • Reassigned Medicare billing, New York enrollment
  • 164 clinicians in this Medicare group
NPI 1144399098 (718) 336-8855

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 7

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

YANA GODMACH LCSW
Social Worker (Clinical)
51 E 125TH ST
NEW YORK, NY 10035
New York County (718) 635-3928
DAILLA PIERRE LOUIS
Nurse Practitioner (Family)
51 E 125TH ST
NEW YORK, NY 10035
New York County (646) 827-9819
SYDNEY B MILLER DMD
Dentist (General Practice)
51 E 125TH ST
NEW YORK, NY 10035
New York County (718) 466-4500
BRANDON JONES CM, COMM, LCSW,PRES,
Case Manager/Care Coordinator
51 E 125TH ST
NEW YORK, NY 10035
New York County (212) 470-1465
THE LENOX-UNIM COMMUNITY HEALTH INITIATIVE
Clinical Nurse Specialist (Community Health/Public Health)
51 E 125TH ST
NEW YORK, NY 10035
New York County (212) 470-1465
KARLA ALICIA ORTIZ DDS, MPH
Dentist (General Practice)
51 E 125TH ST
NEW YORK, NY 10035
New York County (877) 573-9003
DR. INDIA FELICE KEYS DMD, MSPH, MS
Dentist (General Practice)
51 E 125TH ST
NEW YORK, NY 10035
New York County (347) 678-4650

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 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.

Where is Brendan Wille located?

Brendan Wille practices at 51 E 125th St, New York, NY 10035. The listed phone number is (646) 827-9819.

What is Brendan Wille's specialty?

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

Is Brendan Wille enrolled in Medicare?

Yes. Brendan Wille is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brendan Wille's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Wille reassigns Medicare benefits to Century Medical & Dental Center Inc (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brendan Wille's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Wille accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 7 other insurers list Brendan Wille 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 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 14 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.