DR. BENNETT ROY BRODWIN


Address: 900 Colusa Ave, Suite 205a, Berkeley, CA 94707-2319
Phone: 5105254847

DR. BENNETT ROY BRODWIN (NPI# 1548301153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548301153
Entity Type Individual
Full Name DR. BENNETT ROY BRODWIN
Credential DMD
Practice Address 900 Colusa Ave
Suite 205a
Berkeley
CA 94707-2319
Practice Telephone 5105254847
Mailing Telephone 5105254847
Enumeration Date 2007-02-08
Last Update Date 2013-08-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 29215 CA Dental Providers

Office Location

Street Address 900 COLUSA AVE
SUITE 205A
City BERKELEY
State CA
Zip Code 94707-2319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891847547 Ann L. Parker Pediatrics 900 Colusa Ave, Berkeley, CA 94707-2319 2007-01-16
1518324284 Jaleh Niazi, M.d., Inc. Clinic/Center 900 Colusa Ave, 204, Berkeley, CA 94707-2321 2016-01-26
1093053175 Martin L. Goldman, Dds Durable Medical Equipment & Medical Supplies 900 Colusa Ave, Suite 205-a, Berkeley, CA 94707-2319 2013-01-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306389556 Tuyet-lyn Christensen Marriage & Family Therapist 925 The Alameda, Suite 23, Berkeley, CA 94707 2016-11-21
1457807208 William L Carpenter Registered Nurse 875 Arlington Ave, Berkeley, CA 94707 2016-08-31
1992136451 Zeph Locke Marriage & Family Therapist 1760 Solano Ave 300, Berkeley, CA 94707 2013-12-10
1295033553 Emily Zubritsky Counselor 725 Spruce St., Berkeley, CA 94707 2011-03-09
1093025728 Hajera Rostam Psychologist 970 Tulare Avenue, Berkeley, CA 94707 2010-10-15
1457689382 Rand Steven Pallock Marriage & Family Therapist 1635 Soland Ave, Berkeley, CA 94707 2009-12-04
1598936957 Doreen Ruth Downing Psychologist 1700 Solano Ave. Suite F, Berkeley, CA 94707 2008-03-13
1861688285 Thomas James Hendrickson Chiropractor 388 Colusa Circle, Kensington, CA 94707 2007-09-19
1184827362 Barbara Louise Mercer Psychologist 376 Colusa Avenue, Suite 1, Kensington, CA 94707 2007-06-06
1679780480 Judithann H. David Psychologist 919 The Alameda Ste 5, 919 The Alameda Ste 5, Berkeley, CA 94707 2007-05-17
Find all providers in zip 94707

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568027183 Leila Pakravan Dentist 2136 University Ave, Berkeley, CA 94704-1026 2019-05-08
1467921288 Ethan Do Dentist 3017 Telegraph Ave Ste 310, Berkeley, CA 94705-2049 2018-11-21
1497112338 Theodore Robert Small Dentist 1301 Bonita Ave Apt 4, Berkeley, CA 94709-1983 2016-01-22
1962817882 Ian Iwane Dds Dentist 1536 Blake St, None, Berkeley, CA 94703-1806 2014-06-30
1932549235 Erwin Yeh Dentist 1502 Walnut St Ste D, Berkeley, CA 94709-1563 2013-07-01
1144663766 Alicia Applin Dentist 2812 Piedmont Ave, Berkeley, CA 94705-2314 2013-04-12
1588969919 Martin L Goldman Dentist 900 Colusa Ave Ste 205-a, Berkeley, CA 94707-2319 2011-01-15
1316256712 Anthony Murray Dailley Dentist 2999 Regent St Ste 302, Berkeley, CA 94705-2118 2010-10-02
1912239567 Lindsey Koida Dentist 909 University Ave., Berkeley, CA 94710 2010-02-08
1568690824 Brian Marc Assael Dentist 2459a Ashby Ave, Berkeley, CA 94705 2009-06-25
Find all providers in BERKELEY

Competitor

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City BERKELEY
Zip Code 94707

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Dataset Information

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.

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