DR. BRYAN BLAZER D.D.S.
NPI 1851677850
Dentist in Joint Base Langley-eustis, VA

Q: What is Bryan Blazer's NPI number?

The NPI number for Bryan Blazer is 1851677850. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Q: What is Bryan Blazer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Blazer was last updated on October 24, 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 October 24, 2011PECOS Enrolled

77 NEALY AVE, 633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VA 23665(764) 225-5039 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bryan Blazer D.d.s. NPPES

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

DR. BRYAN BLAZER D.D.S. (NPI 1851677850) is an individual dentist in Joint Base Langley-eustis, Virginia, licensed in Illinois (019.028688) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851677850

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRYAN BLAZERCredential: D.D.S.

Location Address77 NEALY AVE, 633D MEDICAL GROUPJoint Base Langley-eustis, VA 23665-2040

Mailing Address77 Nealy Ave, 633d Medical GroupJoint Base Langley-eustis, VA 23665-2040

Phone(764) 225-5039

Sole ProprietorYes

Enumeration DateOctober 24, 2011

✔ NPI 1851677850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.028688

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

77 NEALY AVE, Joint Base Langley-eustis, VA 23665

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Bryan Blazer 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 23665 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 20

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

JEFFREY LYNN BARBOUR RN

Registered Nurse

77 NEALY AVE
LANGLEY AFB, VA 23665

Hampton City (800) 872-8626

DR. CHRISTOPHER JOHN M.D.

Anesthesiology

77 NEALY AVE
HAMPTON, VA 23665

Hampton City (757) 764-0856

DR. IAN CHRISTOPHER CARPENTER PSY.D.

Psychologist (Clinical)

77 NEALY AVE
LANGLEY AFB, VA 23665

Hampton City (757) 225-1152

DR. VERONICA ALIX

Allergy & Immunology

77 NEALY AVE
HAMPTON, VA 23665

Hampton City (757) 225-7630

COREY LEE CZAJKA IDMT

Military Health Care Provider (Independent Duty Medical Technicians)

77 NEALY AVE
LANGLEY AFB, VA 23665

Hampton City (757) 764-6800

IRIS H BAKER RN

Registered Nurse

77 NEALY AVE
HAMPTON, VA 23665

Hampton City (757) 225-2310

RYAN PETER CARFI DO

Internal Medicine

77 NEALY AVE
HAMPTON, VA 23665

Hampton City (757) 764-2523

BRANDI M BRINKMAN

Physical Therapist

77 NEALY AVE
HAMPTON, VA 23665

Hampton City (757) 764-6963

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 Bryan Blazer's NPI number?

The NPI number for Bryan Blazer is 1851677850. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Bryan Blazer located?

Bryan Blazer practices at 77 Nealy Ave 633D Medical Group, Joint Base Langley-Eustis, VA 23665. The listed phone number is (764) 225-5039.

What is Bryan Blazer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bryan Blazer enrolled in Medicare?

Yes. Bryan Blazer is registered in the Medicare PECOS enrollment system.

What insurance does Bryan Blazer accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Bryan Blazer 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 Bryan Blazer was last updated on October 24, 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.