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JEROD BRAZEAL, DDS, PLLC
NPI 1538660949
Dentist - Pediatric Dentistry in Benbrook, TX

Active since February 22, 2018
4200 BRYANT IRVIN RD STE 129, BENBROOK, TX 76109(817) 731-6964(817) 731-4273 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2018, Feb 22, 2018 (2 updates tracked since 2018).

About Jerod Brazeal, Dds, Pllc NPPES

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

JEROD BRAZEAL, DDS, PLLC (NPI 1538660949) is a healthcare organization registered as a pediatric dentistry in Benbrook, Texas and active in the NPI registry since February 2018. The organization lists Jerod Brazeal, Owner, as its authorized official.

NPPES Registry Identity

NPI1538660949
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJEROD BRAZEAL, DDS, PLLC
Location Address4200 BRYANT IRVIN RD STE 129Benbrook, TX 76109-4212
Mailing Address4200 Bryant Irvin Rd Ste 129Benbrook, TX 76109-4212 · (817) 731-6964 · Fax (817) 731-4273
Phone(817) 731-6964
Fax(817) 731-4273
Organization SubpartNo
Authorized OfficialJerod BrazealOwner · (817) 731-6964
Enumeration DateFebruary 22, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1538660949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 27094
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4200 BRYANT IRVIN RD STE 129, Benbrook, TX 76109
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Other Identifiers 1

Medicaid2835811TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

JACK W. MORROW, DDS,MSD
Dentist (Pediatric Dentistry)
4200 BRYANT IRVIN RD STE 129
BENBROOK, TX 76109
Tarrant County (817) 569-6633
R. DANFORD DOSS, DDS, INC
Dentist (Pediatric Dentistry)
4200 BRYANT IRVIN RD STE 129
BENBROOK, TX 76109
Tarrant County (817) 731-6964
FORT WORTH CHILDRENS DENTISTRY
Dentist (Pediatric Dentistry)
4200 BRYANT IRVIN RD STE 129
BENBROOK, TX 76109
Tarrant County (817) 569-6633
DR. ROBERT NELSON BEVILLE III DDS
Dentist (Pediatric Dentistry)
4200 BRYANT IRVIN RD STE 129
BENBROOK, TX 76109
Tarrant County (817) 569-6633

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 Jerod Brazeal, Dds, PLLC's NPI number?

The NPI number for Jerod Brazeal, Dds, PLLC is 1538660949. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Jerod Brazeal, Dds, PLLC located?

Jerod Brazeal, Dds, PLLC is located at 4200 Bryant Irvin Rd Ste 129, Benbrook, TX 76109. The listed phone number is (817) 731-6964.

What is Jerod Brazeal, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jerod Brazeal, Dds, PLLC was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.