Individual provider Active NPI

Brandon J Bohrer, DMD

  • Dentist
  • Belleair Bluffs, FL
National Provider Identifier
1124646120
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25137 Issued in FL
Practice address
490 Indian Rocks Rd N Ste a
Belleair Bluffs, FL 33770-2085
Phone
(727) 584-5693
NPI assigned
Jul 7, 2020
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 25137 FL Primary

Addresses

Primary practice location

490 Indian Rocks Rd N Ste a
Belleair Bluffs, FL 33770-2085

Mailing address

490 Indian Rocks Rd N Ste a
Belleair Bluffs, FL 33770-2085
Phone (727) 584-5693

Other practice location 1

29605 US Highway 19 N Ste 120
Clearwater, FL 33761-1536
Phone (727) 787-3811

Other practice location 2

1745 S Highland Ave Ste 6W
Clearwater, FL 33756-1852
Phone (727) 586-1402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200724001254 FL Order and Referring Only - DentistPractitioner - Dentist 8224452115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25137FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bohrer Group LLC CurrentSince Feb 27, 2022 Accepting new patients
Coast Florida P.a. Dentist PastSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. Dentist PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1124646120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 INDIAN ROCKS RD N STE A",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702085",
            "telephone_number": "727-584-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 INDIAN ROCKS RD N STE A",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702085",
            "telephone_number": "727-584-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29605 US Highway 19 N Ste 120",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337611536",
            "country_code": "US",
            "telephone_number": "727-787-3811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1745 S Highland Ave Ste 6W",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337561852",
            "country_code": "US",
            "telephone_number": "727-586-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "BRANDON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleair Bluffs, FL

Sources for this page

Verify at the official NPI Registry.