BRANDON NICHOLAS GOZA D.M.D.
NPI 1760744684
Dentist - General Practice in De Kalb, MS

Q: What is Brandon Goza's NPI number?

The NPI number for Brandon Goza is 1760744684. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Q: What is Brandon Goza's specialty?

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

Q: Is Brandon Goza enrolled in Medicare?

No. Brandon Goza has opted out of Medicare through July 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Brandon Goza was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 15, 2012Opted out of Medicare · through Jul 28, 2028

234 CHURCH AVE, DE KALB, MS 39328(601) 743-5921(601) 743-5933 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Brandon Nicholas Goza D.m.d. NPPES

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

BRANDON NICHOLAS GOZA D.M.D. (NPI 1760744684) is an individual general practice provider in De Kalb, Mississippi, licensed in Mississippi (3637-12) and active in the NPI registry since June 2012. He has opted out of Medicare through July 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1760744684

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBRANDON NICHOLAS GOZACredential: D.M.D.

Location Address234 CHURCH AVEDe Kalb, MS 39328-9581

Mailing AddressPo Box 70De Kalb, MS 39328-0070 · (601) 743-5921 · Fax (601) 743-5933

Phone(601) 743-5921

Fax(601) 743-5933

Sole ProprietorNo

Enumeration DateJune 15, 2012

Last NPPES UpdateDecember 12, 2023

NPPES CertifiedDecember 12, 2023

✔ NPI 1760744684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 3637-12

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.

234 CHURCH AVE, De Kalb, MS 39328

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Brandon Nicholas Goza D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 28, 2016 through July 28, 2028.

Opt-Out Effective DateJuly 28, 2016

Opt-Out In Effect ThroughJuly 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39328 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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 Brandon Goza's NPI number?

The NPI number for Brandon Goza is 1760744684. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Brandon Goza located?

Brandon Goza practices at 234 Church Ave, De Kalb, MS 39328. The listed phone number is (601) 743-5921.

What is Brandon Goza's specialty?

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

Is Brandon Goza enrolled in Medicare?

No. Brandon Goza has opted out of Medicare through July 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Brandon Goza was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.