Bryan Hall Burdette
NPI 1487061081ActiveOrganization· Dentist· Louisville, KY
Dentist in Louisville, Kentucky, registered in NPPES in July 2014, part of Bryan Hall Burdette. The authorized official on file is Wanda Joan Haynes, Office Manager.
Overview
| NPI | 1487061081 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bryan Hall Burdette |
| NPI issued | Jul 15, 2014 |
| Last updated in NPPES | Jul 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 03223 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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