DR. BEAU JOHN BRASSEALE D.D.S., M.S.D.
NPI 1689836439
Dentist - Endodontics in Bowling Green, KY

Q: What is Beau Brasseale's NPI number?

The NPI number for Beau Brasseale is 1689836439. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Q: What is Beau Brasseale's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Beau Brasseale was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 01, 2008

901 WILKINSON TRCE, SUITE #2, BOWLING GREEN, KY 42103(270) 904-4404 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Beau John Brasseale D.d.s., M.s.d. NPPES

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

DR. BEAU JOHN BRASSEALE D.D.S., M.S.D. (NPI 1689836439) is an individual endodontics provider in Bowling Green, Kentucky, licensed in Kentucky (9102) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1689836439

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. BEAU JOHN BRASSEALECredential: D.D.S., M.S.D.

Location Address901 WILKINSON TRCE, SUITE #2Bowling Green, KY 42103-2483

Mailing Address901 Wilkinson Trce, Suite #2Bowling Green, KY 42103-2483 · (270) 904-4404

Phone(270) 904-4404

Sole ProprietorNo

Enumeration DateJuly 1, 2008

Last NPPES UpdateOctober 14, 2011

✔ NPI 1689836439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in KY · 9102

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 12011193A (IN)

901 WILKINSON TRCE, Bowling Green, KY 42103

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Other Providers at the Same Location NPPES

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

DR. JOSEPH CRAFT STEELE D.M.D.,M.S.

Dentist (Prosthodontics)

901 WILKINSON TRCE
BOWLING GREEN, KY 42103

Warren County (270) 842-0084

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 Beau Brasseale's NPI number?

The NPI number for Beau Brasseale is 1689836439. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Beau Brasseale located?

Beau Brasseale practices at 901 Wilkinson Trce Suite #2, Bowling Green, KY 42103. The listed phone number is (270) 904-4404.

What is Beau Brasseale's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Beau Brasseale was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.