Doron Bresler, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN18130 Issued in FL

Practice address

2240 W 24TH St
Panama City, FL 32405-2226

Phone

(850) 739-1917

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

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.

• Emerald Coast Periodontics

  • Periodontics
  • Niceville, FL
  • NPI 1306223888
  NPD (past)
• Emerald Coast Periodontics, P.a.

  • Periodontics
  • Niceville, FL
  • NPI 1437201712
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1356365035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W 24TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052226",
            "telephone_number": "850-739-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W 24TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052226",
            "telephone_number": "850-739-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLER",
        "first_name": "DORON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "45651",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN18130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Brehm, LPN
• Henry B Breland, M.D.
• Brent Decker, PH.D., PA
• Brent Denley D O P a
• Brent Denley DO PA
• Bridges of Care Inc (Senior Helpers of Panama City)
• Bridgewater Emergency Physicians, LLC
• Anthony Briel
• Bright Life Therapy LLC
• Bright Pediatrics

• Periodontics in Panama City, FL
• Providers in Panama City, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.