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DR. DAVID J. BRUSKY DDS
NPI 1962619957
Dentist in Green Bay, WI

Active since May 17, 2007Opted out of Medicare · through May 23, 2027
410 SECURITY BLVD, GREEN BAY, WI 54313(920) 662-1440(920) 662-1443 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David J. Brusky Dds NPPES

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

DR. DAVID J. BRUSKY DDS (NPI 1962619957) is an individual dentist in Green Bay, Wisconsin, licensed in Wisconsin (4498-015) and active in the NPI registry since May 2007. He has opted out of Medicare through May 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962619957
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID J. BRUSKYCredential: DDS
Location Address410 SECURITY BLVDGreen Bay, WI 54313-9705
Mailing Address410 Security BlvdGreen Bay, WI 54313-9705 · (920) 662-1440 · Fax (920) 662-1443
Phone(920) 662-1440
Fax(920) 662-1443
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962619957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 4498-015
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.
410 SECURITY BLVD, Green Bay, WI 54313
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Other Identifiers 1

Medicaid33797600WI

Accepted Insurance

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

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Opted out of Medicare

Dr. David J. Brusky Dds 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 May 23, 2013 through May 23, 2027.

Opt-Out Effective DateMay 23, 2013
Opt-Out In Effect ThroughMay 23, 2027Opt-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 54313 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 3

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

THE CENTER FOR DENTAL EXCELLENCE, S.C.
Dentist (General Practice)
410 SECURITY BLVD
GREEN BAY, WI 54313
Brown County (920) 662-1440
MUNOZ FAMILY AND COSMETIC DENTISTRY
Clinic/Center (Dental)
410 SECURITY BLVD
GREEN BAY, WI 54313
Brown County (920) 662-1440
DR. JUAN MUNOZ D.D.S
Dentist
410 SECURITY BLVD
GREEN BAY, WI 54313
Brown County (920) 662-1440

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 David Brusky's NPI number?

The NPI number for David Brusky is 1962619957. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is David Brusky located?

David Brusky practices at 410 Security Blvd, Green Bay, WI 54313. The listed phone number is (920) 662-1440.

What is David Brusky's specialty?

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

Is David Brusky enrolled in Medicare?

No. David Brusky has opted out of Medicare through May 23, 2027. 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.

What insurance does David Brusky accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list David Brusky 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 David Brusky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.