Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770835969 Individual Practitioner Male Practitioner

Dr. Michael A. Brossman , DMD

Dentist • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Dr. Michael Brossman, DMD is a registered healthcare professional specializing in Dentist in Green Bay, WI. Practice services are available at 1052 BEL AIRE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1052 Bel Aire Ct

Green Bay, WI 543045014

Telephone 9204992121
Associated Practice Facility / Clinic
🏢 Bay Park Smiles Llc Facility NPI 1104543065

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
56 Specialists

Practicing in Green Bay, WI (1850 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: 2026-07-19
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 6001465

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.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Mark Brodhagen , DDS

Dentist - General Practice

NPI 1760468136

Doctor of Dental Surgery

Dr. Anne Czyz-Klemens , DMD

Dentist - General Practice

NPI 1851377220

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2026

Durable Medical Equipment & Medical Supplies

📍
Updated Practice Location July 31, 2025

Registered at 1052 BEL AIRE CT, GREEN BAY, WI 543045014 (Tel: 9204992121)

📍
Updated Business Mailing Address July 31, 2025

Registered at 1052 BEL AIRE CT, GREEN BAY, WI 543045014 (Tel: 9204992121)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2025

Dentist (License #6001465 in WI)

NPI Profile Active April 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2016

Registered at 1055 N LA CANADA DR, #109, GREEN VALLEY, AZ 856143700 (Tel: 5033346761)

📍
Updated Business Mailing Address April 11, 2016

Registered at 2617 E 9TH ST, TUCSON, AZ 857164713 (Tel: 5033346761)

👤
Provider Name / Credentials Updated April 11, 2016

Recorded as MICHAEL BROSSMAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2016

Dentist (License #8561 in AZ)

🟢
Initial NPI Registration & Enumeration October 11, 2012

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: 1770835969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2012
Last Update: July 19, 2026
Sole Proprietor: No

Mailing Address

1052 Bel Aire Ct

Green Bay, WI 543045014

Phone: 9204992121

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.