DR. BRADLEY WILLIAM RENEHAN M.D.DDS NPI 1255333720

NPI Information

  • NPI: 1255333720
  • Provider Name: DR. BRADLEY WILLIAM RENEHAN, M.D.DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 640 SOUTHPOINTE CT
    #150
    COLORADO SPRINGS, CO
    ZIP 80906
  • Phone: (719) 540-6350

Map and Directions

Get Directions

NPI Details

DR. Bradley William Renehan, M.D.DDS is an oral and maxillofacial surgery dentist in Colorado Springs, CO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Bradley William Renehan, M.D.DDS NPI is 1255333720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

640 SOUTHPOINTE CT
#150
COLORADO SPRINGS, CO
ZIP 80906-856
Phone: (719) 540-6350
Fax: (719) 527-9487

The enumeration date for this NPI number is 8/12/2005 and was last updated on 3/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery8508COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H51898MEDICARE UPINCOLORADO
229054842MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI