Active NPI
Bryan J Morgan, D.D.S.
- Pediatric Dentistry
- Bradenton, FL
National Provider Identifier
1184868895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN19243
- Practice address
- 710 147TH CT NE
Bradenton, FL 34212-5588 - Phone
- (772) 360-7731
- Fax
- (941) 748-2464
- NPI assigned
- Apr 24, 2009
- Last updated
- Mar 22, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN19243 | FL | Primary |
Addresses
Primary practice location
710 147TH CT NE
Bradenton, FL 34212-5588
Mailing address
710 147TH CT NE
Bradenton, FL 34212-5588
Phone (772) 360-7731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19243 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan J Morgan North River LLC | Pediatric Dentistry | Current | Accepting new patients |
| Bryan J Morgan LWR PA | Pediatric Dentistry | Past | 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.
-
- Pediatric Dentistry
- Palmetto, FL
- NPI 1225916505
-
dba Children's Dentistry of Lakewood Ranch
- Pediatric Dentistry
- Lakewood Ranch, FL
- NPI 1205496171
-
- Dental Clinic/Center
- Bradenton, FL
- NPI 1679992408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395446400000",
"number": "1184868895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 147TH CT NE",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342125588",
"telephone_number": "772-360-7731",
"fax_number": "941-748-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 147TH CT NE",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342125588",
"telephone_number": "772-360-7731",
"fax_number": "941-748-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "BRYAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-24",
"last_updated": "2014-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN19243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.