Active NPI
Jerry Bratman, DDS
- Dentist
- Boynton Beach, FL
National Provider Identifier
1134317415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN8473
- Practice address
- 556 Woolbright Road
Boynton Beach, FL 33435-5614 - Phone
- (561) 732-3124
- Fax
- (561) 738-2566
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN8473 | FL | Primary |
Addresses
Primary practice location
556 Woolbright Road
Boynton Beach, FL 33435-5614
Mailing address
1080 S Federal Hwy
Boynton Beach, FL 33435-5614
Phone (561) 732-3124
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160504000111 | FL | Order and Referring Only - Dentist | 4587963194 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jet Dental of Florida PLLC | Current | Accepting new patients | |
| Sage Dental of East Boynton Beach, PLLC | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- General Practice Dentistry
- North Miami Beach, FL
- NPI 1770354847
-
- Dentist
- Boynton Beach, FL
- NPI 1538471529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1134317415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 S FEDERAL HWY",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334355614",
"telephone_number": "561-732-3124",
"fax_number": "561-738-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 WOOLBRIGHT ROAD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334355614",
"telephone_number": "561-732-3124",
"fax_number": "561-738-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATMAN",
"first_name": "JERRY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN8473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.