Bradney Center

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DN16473 Issued in FL

Legal business name

BRADNEY CENTER

Practice address

213 S Dillard St
Suite 310
Winter Garden, FL 34787-3596

Phone

(407) 378-4000

Fax

(727) 820-1199

NPI assigned

Nov 13, 2009

Last updated

Nov 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean Walcott, D.D.SNPI 1841250743

Title

Manager

Phone

(407) 378-4000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean D. Walcott, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakeland, FL
  • NPI 1841250743
  NPD (past) Authorized official

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1275860025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S DILLARD ST",
            "address_2": "SUITE 310",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873596",
            "telephone_number": "407-378-4000",
            "fax_number": "727-820-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S DILLARD ST",
            "address_2": "SUITE 310",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873596",
            "telephone_number": "407-378-4000",
            "fax_number": "727-820-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "WALCOTT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-378-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer C Bourst, DC PA
• Kystral Jasmin Boyd
• April Boykin
• Jerilyn Boyle
• Jeremiah Bradford, DPT
• Brainbeatneurology.Com
• Chalet Lizette Brannan
• Samantha Lauren Brannies, MOT, OTR/L
• Lucimara Brant Pessoa Mello
• Heidi Marie Brewton

• Oral and Maxillofacial Surgery Clinic/Center in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.