Brandon J Bohrer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25137 Issued in FL

Practice address

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

Phone

(727) 586-1402

NPI assigned

Jul 7, 2020

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Bohrer Group LLC

  • Dental Clinic/Center
  • Clearwater, FL
  • NPI 1073269494
  NPD Authorized official
• Coast Florida P.a.

  • Dentist
  • Clearwater, FL
  • NPI 1437725751
  NPD (past)
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1124646120",
    "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",
            "telephone_number": "585-507-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S HIGHLAND AVE STE 6W",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561852",
            "telephone_number": "727-586-1402"
        }
    ],
    "practiceLocations": [],
    "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": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Boggess
• Maria A Boggs, LCSW
• Amy Elizabeth Bohler, IBCLC
• Shannon L Bohnert, DPM
• Bohrer Group LLC
• Veronica F Bohrmann, CRNA
• Leeann Bolgen, FNP-C
• Nathaniel Matthew Bolli, M.D.
• Susan Bolourian, PT
• Scott Bolton, PA-C

• Dentist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dentist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.