Dr. Gerald Lloyd Brouhard , DMD
Dentist - General Practice • North Bend, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Brouhard has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gerald Brouhard, DMD was a registered Dentist - General Practice practicing in North Bend, OR. Throughout an active medical career spanning 12 years, Dr. Brouhard provided care at the practice location at 1860 VIRGINIA AVE until profile deactivation on 2018-07-26.
Practice Location & Contact Primary Location
1860 Virginia Ave
Suite 8
North Bend, OR 974592355
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in North Bend, OR
Practicing in North Bend, OR (1994 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 26, 2018
NPI status registered as active in NPPES database
Registered at 1860 VIRGINIA AVE, SUITE 8, NORTH BEND, OR 974592355 (Tel: 5417567568)
Registered at 1860 VIRGINIA AVE, SUITE 8, NORTH BEND, OR 974592355 (Tel: 5417567568)
Recorded as GERALD BROUHARD, DMD
Dentist (License #4600 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1860 Virginia Ave, Suite 8
North Bend, OR 974592355
Phone: 5417567568
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