Giancarlo Brezillion, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28607 Issued in FL

Practice address

2517 NE 9TH Ave
Wilton Manors, FL 33305-1284

Phone

(954) 210-4376

NPI assigned

Oct 20, 2020

Last updated

Sep 29, 2026By the provider in NPPES

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 NJ

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Native Dental LLC

  dba Native Dental

  • General Practice Dentistry
  • Jersey City, NJ
  • NPI 1821986225
  NPD (past)

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1669071841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SE 2ND AVE APT 2017",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312246",
            "telephone_number": "929-306-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 NE 9TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051284",
            "telephone_number": "954-210-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZILLION",
        "first_name": "GIANCARLO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2026-09-29",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred F Boykin, MSW
• William Bracker Jr., PSY.D.
• Brad Zucker Consulting
• Tasia Arianna Bradley, MD
• James Brauss, PA
• William Anthony Brody Jr.
• Michelle Ann Brooks, BA
• Karl S Brot, MD
• Broward Integrative Medical LLC (Broward Integrative Medical)
• Daniel D Brown, SLPA

• General Practice Dentistry in Wilton Manors, FL
• Providers in Wilton Manors, 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 Sep 29, 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.

Verify at the official NPI Registry.