DR. BRYANT CORNELIUS DDS MBA MPH NPI 1417002973

NPI Information

  • NPI: 1417002973
  • Provider Name: DR. BRYANT CORNELIUS, DDS, MBA, MPH
  • Classification: Dentist - 1223D0004X
  • Specialization: Dentist Anesthesiologist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 260 TOLLGATE RD
    ZELIENOPLE, PA
    ZIP 16063
  • Phone: (970) 260-8629

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NPI Details

DR. Bryant Cornelius, DDS, MBA, MPH is a dentist anesthesiologist dentist in Zelienople, PA. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. DR. Bryant Cornelius, DDS, MBA, MPH NPI is 1417002973. 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:

260 TOLLGATE RD
ZELIENOPLE, PA
ZIP 16063-030
Phone: (970) 260-8629

The NPI 1417002973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for other procedure on mouth (HCPCS:00170)

The enumeration date for this NPI number is 1/24/2007 and was last updated on 12/18/2019.

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 Surgery30024998OHIONo
21223D0004XDentistDentist Anesthesiologist30.024998OHIOYes
31223D0004XDentistDentist AnesthesiologistDS039600PENNSYLVANIANo

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

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