Brian A Parker, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18281 Issued in FL

Practice address

110 E North Ave
Bonifay, FL 32425-1715

Phone

(850) 547-9290

Fax

(850) 547-4181

NPI assigned

May 28, 2008

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Family Dentistry of Bonifay

  • General Practice Dentistry
  • Bonifay, FL
  • NPI 1558303156
  NPD (past)

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1366600272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E NORTH AVE",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324251715",
            "telephone_number": "850-547-9290",
            "fax_number": "850-547-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E NORTH AVE",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324251715",
            "telephone_number": "850-547-9290",
            "fax_number": "850-547-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osama Shuaib Ismail MD LLC
• John Stanley Owens, D.C.
• Pak Rural Health
• Pancare of Florida, Inc
• Panhandle Family Medicine, LLC
• Stanley M Parker, D.M.D.
• Jonathan Odell Paul, ARNP-BC
• Shelia Ann Paul
• Jessica Payne, LPN
• David Penzo, LCSW

• General Practice Dentistry in Bonifay, FL
• Providers in Bonifay, 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 28, 2008; 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.