Dr Beau John Brasseale, DDS, MSD - Dentist in Bowling Green, KY

Dr Beau John Brasseale, DDS, MSD is a Dentist - Endodontics based in Bowling Green, Kentucky. Dr Beau John Brasseale is licensed to practice in Kentucky (license number 9102) and his current practice location is 901 Wilkinson Trce, Suite #2, Bowling Green, Kentucky. He can be reached at his office (for appointments etc.) via phone at (270) 904-4404.

NPI number for Dr Beau John Brasseale is 1689836439 and his current mailing address is 901 Wilkinson Trce, Suite #2, Bowling Green, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689836439.

Contact Information

Dr Beau John Brasseale, DDS, MSD
901 Wilkinson Trce, Suite #2,
Bowling Green, KY 42103-2483
(270) 904-4404
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Beau John Brasseale
GenderMale
SpecialityDentist - Endodontics
Location901 Wilkinson Trce, Bowling Green, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689836439
  • Provider Enumeration Date: 07/01/2008
  • Last Update Date: 10/14/2011

Medical Identifiers

Medical identifiers for Dr Beau John Brasseale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689836439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 12011193A (Indiana)Secondary
1223E0200XDentist - Endodontics 9102 (Kentucky)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 Beau John Brasseale 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 AddressPractice Location Address
Dr Beau John Brasseale, DDS, MSD
901 Wilkinson Trce, Suite #2,
Bowling Green, KY 42103-2483

Ph: (270) 904-4404
Dr Beau John Brasseale, DDS, MSD
901 Wilkinson Trce, Suite #2,
Bowling Green, KY 42103-2483

Ph: (270) 904-4404

Reviews and Comments


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