Brooke Brannon Polyakov, DDS - Dentist in Santa Rosa, CA

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Brooke Brannon Polyakov, DDS is a Dentist physician based in Santa Rosa, California. Brooke Brannon Polyakov is licensed to practice in California (license number 107997) and her current practice location is 140 Stony Point Rd Ste A, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at (707) 408-7838.

NPI number for Brooke Brannon Polyakov is 1821719659 and her current mailing address is 140 Stony Point Rd Ste A, Santa Rosa, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821719659.

Contact Information

Brooke Brannon Polyakov, DDS
140 Stony Point Rd Ste A,
Santa Rosa, CA 95401-4121
(707) 408-7838
Not Available

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Physician's Profile

Full NameBrooke Brannon Polyakov
GenderFemale
SpecialityDentist
Location140 Stony Point Rd Ste A, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821719659
  • Provider Enumeration Date: 09/09/2022
  • Last Update Date: 11/24/2025

Medical Identifiers

Medical identifiers for Brooke Brannon Polyakov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821719659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 19928 (California)Secondary
122300000XDentist 107997 (California)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. Brooke Brannon Polyakov 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
Brooke Brannon Polyakov, DDS
140 Stony Point Rd Ste A,
Santa Rosa, CA 95401-4121

Ph: (213) 407-5945		Brooke Brannon Polyakov, DDS
140 Stony Point Rd Ste A,
Santa Rosa, CA 95401-4121

Ph: (707) 408-7838

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.