Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brett Robert Kockentiet, MD

Individual provider Dermatology Physician · NPI 1306056171

Brett Robert Kockentiet, MD is a Micrographic Dermatologic Surgery (Mds) in Dublin, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2001, 25 years ago. Practices with Affiliated Dermatology and Cosmetic Surgery Center, Inc, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
25
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

650 Shawan Falls Dr
Dublin, OH 43017-2100
Phone: (614) 764-1711
Fax: (614) 889-2652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1125 Rush Ave, Bellefontaine, OH 43311-9488 — (614) 764-1711

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 35.093291 (OH)
Dermatology Physician Taxonomy 207N00000X · Licence 35.093291 (OH)

Record details

NPI number1306056171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Affiliated Dermatology And Cosmetic Surgery Center, Inc. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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