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Dr. Herbert Leonidas Wade , DDS

Dentist - Pediatric Dentistry β€’ Bryan, TX

Active NPI 1215920897 Individual Practitioner Male Practitioner
Practice location in NPPES

1326 Memorial Dr
Bryan, TX 778025215

Call 9797768100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1326 Memorial Dr

Bryan, TX 778025215

Telephone 9797768100
Fax 9797768123
Organization at the Same NPPES Address or Phone
Brian Barras, Dds, Ms, Pllc Facility NPI 1073955969

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bryan and Texas

4 active clinicians are listed under Dentist - Pediatric Dentistry with a practice address in Bryan, TX (1,019 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES TX 9131

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
⚠️
NPI Profile Deactivated February 03, 2022

NPPES lists this NPI as deactivated as of February 03, 2022; the reason is not published.

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 1326 MEMORIAL DR, BRYAN, TX 778025215 (Tel: 9797768100)

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Business Mailing Address (Initial Record) July 08, 2007

Registered at 1326 MEMORIAL DR, BRYAN, TX 778025215 (Tel: 9797768100)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as HERBERT WADE, D.D.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (license number reported to NPPES: TX 9131)

πŸ”„
NPI Profile Reactivated April 03, 2006

Record officially reactivated for active practice on April 03, 2006

⚠️
NPI Profile Deactivated March 23, 2006

NPPES lists this NPI as deactivated as of March 23, 2006; the reason is not published.

🟒
Initial NPI Registration & Enumeration August 29, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215920897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2005
Last Update: July 08, 2007

Mailing Address

1326 Memorial Dr

Bryan, TX 778025215

Phone: 9797768100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.