Bohrer Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOHRER GROUP LLC

Practice address

1745 S Highland Ave # 6W
Clearwater, FL 33756-1852

Phone

(727) 586-1402

NPI assigned

Feb 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brandon Bohrer, DMDNPI 1124646120

Title

Owner

Phone

(585) 507-2684

Specialties & licenses 1

Addresses

Other names 1

• Shore Lake Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon J Bohrer, DMD

  • Dentist
  • Clearwater, FL
  • NPI 1124646120
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1073269494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ORANGE ST",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S HIGHLAND AVE # 6W",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561852",
            "telephone_number": "727-586-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHRER GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "BOHRER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-507-2684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Lake Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean M Boeggeman, CRNA
• Vanessa Boggess
• Maria A Boggs, LCSW
• Amy Elizabeth Bohler, IBCLC
• Shannon L Bohnert, DPM
• Brandon J Bohrer, DMD
• Veronica F Bohrmann, CRNA
• Leeann Bolgen, FNP-C
• Nathaniel Matthew Bolli, M.D.
• Susan Bolourian, PT

• Dental Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.