Dr Gary M Brousell, DDS is a
Oral & Maxillofacial Surgery based in Tinton Falls, New Jersey. Dr Gary M Brousell is licensed to practice in New Jersey (license number 22DI0106000) and his current practice location is
21 Gilbert Street, Tinton Falls, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(732) 747-0993.
NPI number for Dr Gary M Brousell is 1356311302 and his current mailing address is 31 Wardell Cir, Oceanport, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356311302.
Healthcare Provider's Profile
| Full Name | Dr Gary M Brousell |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 21 Gilbert Street, Tinton Falls, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356311302
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 06/28/2012
Medical Identifiers
Medical identifiers for Dr Gary M Brousell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356311302 | NPI | - | NPPES |
| 1863401 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10690 (New Jersey) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 22DI0106000 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary M Brousell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gary M Brousell, DDS
31 Wardell Cir,
Oceanport, NJ 07757-1610
Ph: (732) 747-0993 | Dr Gary M Brousell, DDS
21 Gilbert Street,
Tinton Falls, NJ 07724
Ph: (732) 747-0993 |
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