npidexNPI registry + Medicare data

BRADLEY KOCH, D.D.S.

Oral and Maxillofacial Surgery (Dentist) · GREEN BAY, WI

Individual Active Opted out of Medicare NPI 1013921196

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓4005-015WI

Medicare eligibility

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

Opted out of Medicare (Dentist), effective 2021-05-01 through 2027-05-01.

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.