Mitesh Girishkumar Brahmbhatt, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN013655 Issued in GA

Practice address

3886 Bemiss Rd Ste C
Valdosta, GA 31605-6125

Phone

(229) 469-8492

Fax

(229) 469-5259

NPI assigned

Nov 14, 2006

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 GA

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

Locations

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.

• Bemiss Dental Care PC

  • General Practice Dentistry
  • Valdosta, GA
  • NPI 1265114862
  NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1609948645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 BEMISS RD STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056125",
            "telephone_number": "229-469-8492",
            "fax_number": "229-469-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 BEMISS RD STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056125",
            "telephone_number": "229-469-8492",
            "fax_number": "229-469-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "MITESH",
        "middle_name": "GIRISHKUMAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Brianna Brack, OTD/OTR/L
• Susan Bradley, BCBA
• Susan L Bradshaw, LCSW
• Alford Timothy Brady, MD
• Lisa Elaine Brady, B.A.. P.P.
• Albert W Branch, PHARM.D.
• Melissa Marie Brannen, CCC-SLP
• Leah Ann Brant, SLP
• Barry Howard Braun, M.D.
• Malena Bravo

• Dentist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.