Robert Bracho, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19824 Issued in FL

Practice address

925 High Point Dr
Naples, FL 34103-3879

Phone

(239) 262-1535

NPI assigned

Jun 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 10, 2016 through Nov 10, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bracho Dental Solutions LLC

  • General Practice Dentistry
  • Naples, FL
  • NPI 1770304099
  NPD Authorized official
• Park Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Naples, FL
  • NPI 1861739179
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1114280245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7081 LIVE OAK DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148154",
            "telephone_number": "240-401-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HIGH POINT DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033879",
            "telephone_number": "239-262-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACHO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Boyd, MD
• Lisa Boyko, PT
• Douglas L Boynton, MD
• Thomas James Boysen, D.P.M.
• Bracho Dental Solutions LLC
• Gail Marie Braden, ARNP
• Don Bradke, MD
• Bradley Allred Medical Supply LLC
• Bradley T. Piotrowski, DDS, MSD, LLC
• Bennie Bradner, PT, DPT

• General Practice Dentistry in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.