Brent Allen Golden, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

ME123445 Issued in FL

Practice address

207 W Gore St Ste 302
Orlando, FL 32806-1014

Phone

(407) 839-8407

Fax

(407) 839-8446

NPI assigned

Jun 26, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bgolden26804@orlandohealth.medalliesdirect.net

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.

• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1679779532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W GORE ST STE 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061014",
            "telephone_number": "407-839-8407",
            "fax_number": "407-839-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W GORE ST STE 302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061014",
            "telephone_number": "407-839-8407",
            "fax_number": "407-839-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "BRENT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "ME123445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014953200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Life Senior Services LLC
• Golden Path Companion Care
• Golden Wellness Clinic
• Tranquilla Golden-Taylor
• Bradley Golden, D.C.
• Carey Abbygail Golden, RN
• Steven M Golden, PTA
• Tequila Golden, NURSE PRACTITIONER
• Samantha Goldenberg
• Goldenrod Pharmacy LLC

• Oral & Maxillofacial Surgery (D.M.D.) in Orlando, FL
• Providers in Orlando, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.