npidexNPI registry + Medicare data

BRADLEY PACKER, D.M.D

Dentist · FORT COLLINS, CO

Individual Active Opted out of Medicare NPI 1679966550

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dentist122300000X✓DEN.00202833CO

Medicare eligibility

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

Opted out of Medicare (Dentist), effective 2021-02-18 through 2027-02-18.

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