Brian M. Bivens, DMD, Ms, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN16668 Issued in FL

Legal business name

BRIAN M. BIVENS, DMD, MS, PA

Practice address

12950 Race Track Rd
Suite 107
Tampa, FL 33626-1309

Phone

(813) 443-5050

Fax

(813) 749-7526

NPI assigned

Feb 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian M. Bivens, DMD

Title

President

Phone

(813) 443-5050

Specialties & licenses 6

Addresses

Other names 1

• Bay Dental Specialists Doing business as

Locations

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1699072330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 RACE TRACK RD",
            "address_2": "SUITE 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261309",
            "telephone_number": "813-443-5050",
            "fax_number": "813-749-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 RACE TRACK RD",
            "address_2": "SUITE 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261309",
            "telephone_number": "813-443-5050",
            "fax_number": "813-749-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN M. BIVENS, DMD, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-443-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN6295",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16668",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH15021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Brewster, MPA, PA-C
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• Brian Drutman D.C., LLC
• Hannah Crews Brian, CRNA
• Othman Yassen Bricha, MD
• Winfiled Scott Brickett, ATC, LAT
• Ornella Bricoune, MD
• Bride Mobility of Tampa LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.