Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407187362 Individual Practitioner Male Practitioner

Dr. Jack L Brauer , DDS

Dentist - General Practice • Midway, UT

Professional Overview & Biography Verified Profile Summary

Dr. Jack Brauer, DDS is a registered healthcare professional specializing in Dentist - General Practice in Midway, UT. Practice services are available at 450 BERN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

450 Bern Way

Midway, UT 84049

Telephone 6198407080

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Midway, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Midway, UT (1388 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: 2022-05-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 47988549921

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1407187362 (UT)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2013

Registered at 450 BERN WAY, MIDWAY, UT 84049 (Tel: 6198407080)

📍
Updated Business Mailing Address November 25, 2013

Registered at 450 BERN WAY, MIDWAY, UT 84049 (Tel: 6198407080)

👤
Provider Name / Credentials Updated November 25, 2013

Recorded as JACK BRAUER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2013

Dentist (License #47988549921 in UT)

🟢
Initial NPI Registration & Enumeration January 15, 2010

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: 1407187362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2010
Last Update: May 20, 2022
Sole Proprietor: Yes

Mailing Address

450 Bern Way

Midway, UT 84049

Phone: 6198407080

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.