Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598112310 Individual Practitioner Male Practitioner

Dr. Brian William Brodersen , DDS

Dentist - General Practice • Rochester, MN

Professional Overview & Biography Verified Profile Summary

Dr. Brian Brodersen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rochester, MN. Practice services are available at 922 BROADWAY AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

922 Broadway Ave N

Rochester, MN 559066816

Telephone 5072895838
Fax 5075362762
Associated Practice Facility / Clinic
🏢 Ryan Dental, Llc Facility NPI 1427587195

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rochester, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
95 Specialists

Practicing in Rochester, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D13668

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kelly Gallagher , DDS

Dentist - General Practice

NPI 1295783462

Doctor of Dental Surgery

Dr. Abheer Jayakar , DDS

Dentist - General Practice

NPI 1659561967

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location December 09, 2020

Registered at 922 BROADWAY AVE N, ROCHESTER, MN 559066816 (Tel: 5072895838)

📍
Updated Business Mailing Address December 09, 2020

Registered at 922 BROADWAY AVE N, ROCHESTER, MN 559066816 (Tel: 5072895838)

NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2017

Registered at 1801 GREENVIEW DR SW, SUITE 101, ROCHESTER, MN 559021184 (Tel: 5072813659)

📍
Updated Business Mailing Address April 20, 2017

Registered at 1801 GREENVIEW DR SW, SUITE 101, ROCHESTER, MN 559021184 (Tel: 5072813659)

👤
Provider Name / Credentials Updated April 20, 2017

Recorded as BRIAN BRODERSEN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Dentist (License #D13668 in MN)

NPI Profile Active September 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2016

Registered at 973 SKYLINE DR SW, ROCHESTER, MN 559021220 (Tel: 5074241040)

📍
Updated Business Mailing Address September 20, 2016

Registered at 973 SKYLINE DR SW, ROCHESTER, MN 559021220 (Tel: 5074241040)

👤
Provider Name / Credentials Updated September 20, 2016

Recorded as BRIAN BRODERSEN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2016

Dentist (License #D13668 in MN)

🟢
Initial NPI Registration & Enumeration May 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598112310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2016
Last Update: December 09, 2020
Sole Proprietor: No

Mailing Address

922 Broadway Ave N

Rochester, MN 559066816

Phone: 5072895838

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.