Dr Gerald Dale Brudvik, DDS is a
Dentist - General Practice based in Breckenridge, Minnesota. Dr Gerald Dale Brudvik is licensed to practice in Minnesota (license number 7177) and his current practice location is
430 Oak St., Breckenridge, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 643-6313.
NPI number for Dr Gerald Dale Brudvik is 1699859942 and his current mailing address is Po Box 106, Breckenridge, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699859942.
Healthcare Provider's Profile
Full Name | Dr Gerald Dale Brudvik |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 430 Oak St., Breckenridge, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699859942
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gerald Dale Brudvik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699859942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 7177 (Minnesota) | 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 Gerald Dale Brudvik 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 Gerald Dale Brudvik, DDS Po Box 106, Breckenridge, MN 56520 Ph: (218) 643-6313 | Dr Gerald Dale Brudvik, DDS 430 Oak St., Breckenridge, MN 56520 Ph: (218) 643-6313 |
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