DR. LESLIE EDWARD BROLINE (NPI# 1154427029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154427029 |
| Entity Type | Individual |
| Full Name | DR. LESLIE EDWARD BROLINE |
| Credential | DDS MS |
| Practice Address |
3508 Far West Blvd Ste 330 Austin TX 78731-3041 |
| Practice Telephone | 5123439488 |
| Practice Fax Number | 5123431062 |
| Mailing Telephone | 5123439488 |
| Mailing Fax Number | 5123431062 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
9766 | TX | Dental Providers |
| Street Address |
3508 FAR WEST BLVD STE 330 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173428 | Benjamin E Keene | Physical Therapist | 3508 Far West Blvd, Suite 240, Austin, TX 78731-3080 | 2005-09-08 |
| 1679197206 | Andrea Marie Hardies | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-05-29 |
| 1780204040 | Homa Sharifi | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-04-16 |
| 1164051330 | Martha Lorenza Ortiz | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-04-08 |
| 1790311553 | Jennifer Poehl | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-03-12 |
| 1861027872 | Iyabode Ajibola | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-03-10 |
| 1982186433 | Kelly Kullenberg | Licensed Vocational Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2018-08-31 |
| 1285115303 | Zakary Joseph Suttles | Licensed Practical Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2018-08-27 |
| 1912488172 | Josefina Elizabeth Rodriguez | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2018-08-26 |
| 1609355379 | Catherine Suzanne Sherrow | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2018-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1821519349 | Alireza Torabi | Dentist | 5000 W Slaughter Ln Ste 203, Austin, TX 78749-4057 | 2017-07-06 |
| 1558774554 | Austin Perio Health | Dentist | 4310 Medical Pkwy Ste 201, Austin, TX 78756-3331 | 2014-06-06 |
| 1619393469 | Enrique Cruz | Dentist | 115 Sandra Muraida Way, Apt 631, Austin, TX 78703-4696 | 2014-03-17 |
| 1285074260 | Marcy Jo Watson | Dentist | 11615 Angus Rd Ste 101, Austin, TX 78759-4064 | 2013-07-05 |
| 1568717460 | Cuong Huy Ha | Dentist | 2500 W William Cannon Dr Ste 103, Austin, TX 78745-5287 | 2012-07-17 |
| 1760798979 | Kishore Sama | Dentist | 1110 W William Cannon Dr Ste 401, Austin, TX 78745-5498 | 2010-08-25 |
| 1114165685 | Joshua Roland Chapa | Dentist | 4310 Medical Pkwy Ste 120, Austin, TX 78756-3331 | 2009-01-21 |
| 1013163260 | Siddharth Gupta | Dentist | 12319 N Mopac Expy Ste 160, Austin, TX 78758-2648 | 2008-08-07 |
| 1528286952 | Melanie Danielle Robinson | Dentist | 3305 Northland Dr Ste 204, Austin, TX 78731-5011 | 2007-04-23 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on DR. LESLIE EDWARD BROLINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.