Bruce A Kushner, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 9257 Issued in FL

Practice address

10690 S US Highway 1
Suite a
Port St Lucie, FL 34952-6411

Phone

(772) 335-3300

Fax

(772) 398-9773

NPI assigned

May 30, 2007

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

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

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1164623641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10690 S US HIGHWAY 1",
            "address_2": "SUITE A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526411",
            "telephone_number": "772-335-3300",
            "fax_number": "772-398-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10690 S US HIGHWAY 1",
            "address_2": "SUITE A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526411",
            "telephone_number": "772-335-3300",
            "fax_number": "772-398-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 9257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Kulp, D.O.
• Sarah Kumar, APRN, FNP-C, FNP-BC
• Adam D Kurtin, D.O.
• Brian Marti Kusel, D.D.S.
• Conrad James Kusel Jr., D.D.S.
• Robert Matthew Kustarz, MS DC
• Victoria Kustarz, DC
• Kymbella Healthcare
• Kymbella Wellness Center & Exotics
• Lab Stop USA, Inc

• General Practice Dentistry in Port St Lucie, FL
• Providers in Port St Lucie, 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 May 20, 2013; 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.