DR. BRIAN BENASA BARDELOZA DDS
NPI 1477076727
Dentist - General Practice in Vancouver, WA

Q: What is Brian Bardeloza's NPI number?

The NPI number for Brian Bardeloza is 1477076727. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Q: What is Brian Bardeloza's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Bardeloza was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 19, 2017PECOS Enrolled

605 SE 164TH AVE STE 103, VANCOUVER, WA 98684(360) 882-0222 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2018, Jul 19, 2017 (2 updates tracked since 2017).

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About Dr. Brian Benasa Bardeloza Dds NPPES

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

DR. BRIAN BENASA BARDELOZA DDS (NPI 1477076727) is an individual general practice provider in Vancouver, Washington, licensed in Washington (DE60876885) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1477076727

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRIAN BENASA BARDELOZACredential: DDS

Location Address605 SE 164TH AVE STE 103Vancouver, WA 98684

Mailing Address14201 Ne 20th Ave Ste B200Vancouver, WA 98686-6412 · (360) 571-8181 · Fax (360) 573-4022

Phone(360) 882-0222

Sole ProprietorNo

Enumeration DateJuly 19, 2017

Last NPPES UpdateSeptember 14, 20182 updates tracked since enumeration

✔ NPI 1477076727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in WA · DE60876885✔ Licensed in OR · D10817

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.

605 SE 164TH AVE STE 103, Vancouver, WA 98684

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Secondary Practice Location 1

Location 1605 SE 164th Ave Ste 103Vancouver, WA 98684 · Phone (360) 882-0222

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Brian Benasa Bardeloza Dds 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 98684 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.

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 Brian Bardeloza's NPI number?

The NPI number for Brian Bardeloza is 1477076727. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Brian Bardeloza located?

Brian Bardeloza practices at 605 SE 164th Ave Ste 103, Vancouver, WA 98684. The listed phone number is (360) 882-0222.

What is Brian Bardeloza's specialty?

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

Is Brian Bardeloza enrolled in Medicare?

Yes. Brian Bardeloza is registered in the Medicare PECOS enrollment system.

What insurance does Brian Bardeloza accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and PacificSource Health Plans and 1 other insurer list Brian Bardeloza 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 Brian Bardeloza was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.