Brian T. Crosby DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0013748 Issued in FL

Legal business name

BRIAN T. CROSBY DMD PA

Practice address

2154 Harden Blvd
Lakeland, FL 33803-5917

Phone

(863) 683-8127

Fax

(863) 683-4107

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian Tate Crosby, DMDNPI 1922244722

Title

President

Phone

(863) 683-8127

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian T Crosby, D.M.D.

  • General Practice Dentistry
  • Lakeland, FL
  • NPI 1922244722
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1497818629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035917",
            "telephone_number": "863-683-8127",
            "fax_number": "863-683-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035917",
            "telephone_number": "863-683-8127",
            "fax_number": "863-683-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN T. CROSBY DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-683-8127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPDENT",
            "identifier": "995665",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "57057",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64967",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Bresnan, MD
• Bretts Behavior Services LLC
• Nathaniel James Bretz, DC
• Eric Joel Breuggeman, DPM
• Karyn Rebecca Brewer
• Bridges Optical
• Dallas Nicole Bridges
• Mark Joseph Bridges, L.D.O.
• Bridgewalk on Harden Health and Rehabilitation LLC
• Elizabeth Corinne Brien, MD

• General Practice Dentistry in Lakeland, FL
• Providers in Lakeland, 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 Nov 9, 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.