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DR. BROC GUNDERSEN DMD
NPI 1407262215
Dentist - General Practice in Quincy, WA

Active since July 02, 2014PECOS Enrolled
1450 1ST AVE SW, QUINCY, WA 98848(509) 787-0715 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Broc Gundersen Dmd NPPES

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

DR. BROC GUNDERSEN DMD (NPI 1407262215) is an individual general practice provider in Quincy, Washington, licensed in Washington (DE60477428) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407262215
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BROC GUNDERSENCredential: DMD
Location Address1450 1ST AVE SWQuincy, WA 98848-1695
Mailing Address1450 1st Ave SwQuincy, WA 98848-1695 · (509) 787-0715
Phone(509) 787-0715
Sole ProprietorNo
Enumeration DateJuly 2, 2014
Last NPPES UpdateSeptember 5, 2014
✔ NPI 1407262215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE60477428
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.
1450 1ST AVE SW, Quincy, WA 98848
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Accepted Insurance

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

Dr. Broc Gundersen Dmd 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 98848 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 11

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

LAURA COTTINGHAM
Family Medicine
1450 1ST AVE SW
QUINCY, WA 98848
Grant County (509) 764-2381
DAVID ATER BOL PHARMD
Pharmacist
1450 1ST AVE SW
QUINCY, WA 98848
Grant County (509) 787-0735
QUINCY COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1450 1ST AVE SW
QUINCY, WA 98848
Grant County (509) 787-6423
DR. STEPHANIE MILLS PHARMD
Pharmacist
1450 1ST AVE SW
QUINCY, WA 98848
Grant County (509) 787-6423
ALEXA APRIL BLAKE
Case Manager/Care Coordinator
1450 1ST AVE SW
QUINCY, WA 98848
Grant County (509) 787-6423
MOSES LAKE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1450 1ST AVE SW
QUINCY, WA 98848
Grant County (509) 787-6423
CHERYL M HEIN MSW
Counselor
1450 1ST AVE SW
QUINCY, WA 98848
Grant County (509) 787-6423
QUINCY COMMUNITY HEALTH CENTER PHARMACY
Pharmacy (Clinic Pharmacy)
1450 1ST AVE SW
QUINCY, WA 98848
Grant County (509) 787-6423

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 Broc Gundersen's NPI number?

The NPI number for Broc Gundersen is 1407262215. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Broc Gundersen located?

Broc Gundersen practices at 1450 1st Ave SW, Quincy, WA 98848. The listed phone number is (509) 787-0715.

What is Broc Gundersen's specialty?

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

Is Broc Gundersen enrolled in Medicare?

Yes. Broc Gundersen is registered in the Medicare PECOS enrollment system.

What insurance does Broc Gundersen accept?

Health plans from BEST Life, 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 5 other insurers list Broc Gundersen 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 Broc Gundersen was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.