IndividualActive
Brett Bracco
NPI 1457052888 · General Practice Dentistry · San Pedro, CA
Provider details
- NPI number
- 1457052888
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 110783 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1418 W 25th St
San Pedro, CA 90732-4418
Phone: (310) 547-4413
Street-level locationGet directions
Mailing address
2069 E 3rd St Apt 11
Long Beach, CA 90814-6123
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.