BRANT A ERBENTRAUT D.D.S. - NPI 1609961374 - Dentist in Grand Rapids, MI

Q: What is Brant Erbentraut's NPI number?

The NPI number for Brant Erbentraut is 1609961374. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Brant Erbentraut's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Brant Erbentraut was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brant A Erbentraut D.d.s. NPPES

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

BRANT A ERBENTRAUT D.D.S. (NPI 1609961374) is an individual oral and maxillofacial surgery provider in Grand Rapids, Michigan, licensed in Michigan (2901018125) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609961374

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameBRANT A ERBENTRAUTCredential: D.D.S.

Location Address2140 LAKE MICHIGAN DR NWGrand Rapids, MI 49504-4785

Mailing Address2140 Lake Michigan Dr NwGrand Rapids, MI 49504-4785 · (616) 735-2870 · Fax (616) 735-2871

Phone(616) 735-2870

Fax(616) 735-2871

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609961374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MI · 2901018125

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2140 LAKE MICHIGAN DR NW, Grand Rapids, MI 49504

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Other Identifiers 3

Other181250MI · Bcbsd

Other0D111530MI · Bcbsm

Medicare UPINV06341MI

Accepted Insurance

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

Brant A Erbentraut D.d.s. 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 49504 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 6

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

PAUL JEFFREY BROOKS D.D.S.

Dentist (Oral and Maxillofacial Surgery)