Dr. Brady John Gerber, DMD
Dentist, General Practice in Lake Geneva, WI. Individual provider (NPI-1).
NPI number1740022342
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1740022342
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brady John Gerber
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2024
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 600156915 | WI | Yes |
Practice location
580 Broad StLake Geneva, WI 53147-1420
Phone 262-248-2773
Mailing address
580 Broad StLake Geneva, WI 53147-1420
Phone 262-248-2773
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 General Practice Dentistry providers in Lake Geneva · All 454 providers in Lake Geneva
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