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Brookfield Oral Surgery, LLC

Oral and Maxillofacial Surgery (Dentist) in Brookfield, IL · enumerated 2021 · authorized official Tyran Johnson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225612534

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Registry record

Entity type Organization (Type 2)
Legal business name Brookfield Oral Surgery, LLC
Practice address 9240 Broadway Ave, Brookfield, IL, 60513
Phone (708) 680-7017
Fax (708) 419-3537
Enumeration date May 12, 2021
Last updated in NPPES May 12, 2021

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Tyran Johnson
Title Owner
Phone (708) 680-7017

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Brookfield Oral Surgery, LLC?
The NPI for Brookfield Oral Surgery, LLC is 1225612534, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Brookfield Oral Surgery, LLC?
NPPES lists Tyran Johnson (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-12.