Active NPI
Norman Chad Bardsley, D.D.S.
- Periodontics
- Brandon, FL
National Provider Identifier
1508039660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN17899
- Practice address
- 1168 Bell Shoals Rd
Brandon, FL 33511-9014 - Phone
- (813) 928-5768
- NPI assigned
- Apr 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DEN-9692 | CO | |
| Periodontics | 1223P0300X | DN17899 | FL | Primary |
Addresses
Primary practice location
1168 Bell Shoals Rd
Brandon, FL 33511-9014
Mailing address
1168 Bell Shoals Rd
Brandon, FL 33511-9014
Phone (813) 928-5768
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150606000027 | FL | Order and Referring Only - Other (Physician) | 5799006490 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-9692 | CO | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1508039660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1168 BELL SHOALS RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335119014",
"telephone_number": "813-928-5768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1168 BELL SHOALS RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335119014",
"telephone_number": "813-928-5768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDSLEY",
"first_name": "NORMAN",
"middle_name": "CHAD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CO",
"license": "DEN-9692",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN17899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.