Brian Oliver Coleman, M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11787 Issued in FL

Practice address

7200 Aloma Ave
Suite D
Winter Park, FL 32792-7133

Phone

(407) 671-1017

Fax

(407) 678-1339

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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.

• Omega Dental Group, P.a.

  • Dentist
  • Winter Park, FL
  • NPI 1730599887
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (1 of 2)

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720008121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 ALOMA AVE",
            "address_2": "SUITE D",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927133",
            "telephone_number": "407-671-1017",
            "fax_number": "407-678-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 ALOMA AVE",
            "address_2": "SUITE D",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927133",
            "telephone_number": "407-671-1017",
            "fax_number": "407-678-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BRIAN",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "11787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Gershon Cohen, DMD
• Emily Marie Coker, MS
• Olivia Colbert, PA
• Ariel F. Cole, M.D.
• Amanda Marie Colella, MSW
• Casey Nicole Coleman
• Philip Coleman
• Colette J. Iacobellis, M.a., LLC
• Sharon Coley
• Collaborative Therapies LLC

• All providers in Winter Park, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.