Active NPI
Ibrahim M Saleh, DDS
- Dentist
- Bradenton, FL
National Provider Identifier
1376259085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28567
- Practice address
- 11408 Autumn Leaf Way
Bradenton, FL 34212-2505 - Phone
- (210) 907-4874
- NPI assigned
- Jan 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28567 | FL | Primary |
Addresses
Primary practice location
11408 Autumn Leaf Way
Bradenton, FL 34212-2505
Mailing address
11408 Autumn Leaf Way
Bradenton, FL 34212-2505
Phone (210) 907-4874
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 |
|---|---|---|---|
| 28567 | FL | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1376259085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11408 AUTUMN LEAF WAY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342122505",
"telephone_number": "210-907-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11408 AUTUMN LEAF WAY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342122505",
"telephone_number": "210-907-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEH",
"first_name": "IBRAHIM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-26",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "28567",
"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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.