Individual provider Active NPI

Jerry Bratman, DDS

  • Dentist
  • Boynton Beach, FL
National Provider Identifier
1134317415
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN8473 Issued in FL
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

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504000111 FL Order and Referring Only - DentistPractitioner - Dentist 4587963194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.