Brejaun D Ford

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

257571 Issued in FL

Practice address

2801 N University Dr Ste 202
Coral Springs, FL 33065-5053

Phone

(954) 688-6888

NPI assigned

Oct 12, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1629730015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 W ATLANTIC BLVD APT 507",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N UNIVERSITY DR STE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655053",
            "telephone_number": "954-688-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "BREJAUN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "FL",
            "license": "257571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Cristel Folse
• Yvesnerson Fontaine, APRN MSN FNP-BC
• Leanne Steingo Fooksman
• Foot and Ankle Associates of South Florida
• For a Whole Life, LLC
• Briana Forde, BS
• Forensic Stat Laboratory Inc
• William Alberto Forero, DMD
• Forever Mobile LLC
• Kathie Forgues

• Dental Assistant in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Dental Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.