Dr Jack L Brauer, DDS is a
Dentist - General Practice based in Midway, Utah. Dr Jack L Brauer is licensed to practice in Utah (license number 47988549921) and his current practice location is
450 Bern Way, Midway, Utah. He can be reached at his office (for appointments etc.) via phone at
(619) 840-7080.
NPI number for Dr Jack L Brauer is 1407187362 and his current mailing address is 450 Bern Way, Midway, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407187362.
Healthcare Provider's Profile
Full Name | Dr Jack L Brauer |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 450 Bern Way, Midway, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407187362
- Provider Enumeration Date: 01/15/2010
- Last Update Date: 05/20/2022
Medical Identifiers
Medical identifiers for Dr Jack L Brauer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407187362 | NPI | - | NPPES |
1407187362 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 47988549921 (Utah) | 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 Jack L Brauer 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 Address | Practice Location Address |
Dr Jack L Brauer, DDS 450 Bern Way, Midway, UT 84049 Ph: (619) 840-7080 | Dr Jack L Brauer, DDS 450 Bern Way, Midway, UT 84049 Ph: (619) 840-7080 |
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