Individual provider Active NPI

Michael William Brumm, D.M.D.

  • General Practice Dentistry
  • Clearwater, FL
National Provider Identifier
1366587610
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17646 Issued in FL
Practice address
906 N Belcher Rd
Clearwater, FL 33765-2105
Phone
(727) 799-1011
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17646 FL Primary

Addresses

Primary practice location

906 N Belcher Rd
Clearwater, FL 33765-2105

Mailing address

906 N Belcher Rd
Clearwater, FL 33765-2105
Phone (727) 799-1011

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
I20180126002482 FL Order and Referring Only - DentistPractitioner - Dentist 0042570756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN17646FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lee H. Zamos, DMD, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1366587610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 N BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652105",
            "telephone_number": "727-799-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652105",
            "telephone_number": "727-799-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMM",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.