npidexNPI registry + Medicare data

EDDIE BROTKOWSKI, D.D.S., M.D.

Oral and Maxillofacial Surgery (Dentist) · FOND DU LAC, WI

Individual Active Opted out of Medicare NPI 1003100470

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓1001767WI
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2020-03-12 through 2028-03-12.

Other Oral and Maxillofacial Surgery (Dentist) providers in Wisconsin

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.