Dr Nicholas Philip Brong, DDS is a medicare enrolled "Dentist - General Practice" provider in South Saint Paul, Minnesota. His current practice location is
800 Marie Ave, South Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 451-1277.
Dr Nicholas Philip Brong is licensed to practice in Minnesota (license number D13138) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437414034.
Healthcare Provider's Profile
Full Name | Dr Nicholas Philip Brong |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 800 Marie Ave, South Saint Paul, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437414034
- Provider Enumeration Date: 07/10/2012
- Last Update Date: 07/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 1254669237
- Enrollment ID: I20190829001013
Medical Identifiers
Medical identifiers for Dr Nicholas Philip Brong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437414034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D13138 (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 Nicholas Philip Brong is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nicholas Philip Brong, DDS 800 Marie Ave, South Saint Paul, MN 55075-2055 Ph: () - | Dr Nicholas Philip Brong, DDS 800 Marie Ave, South Saint Paul, MN 55075-2055 Ph: (651) 451-1277 |
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