Bogdan Brajic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

061960 Issued in NY

Practice address

827 11TH Ave
New York, NY 10019-3535

Phone

(212) 369-5566

NPI assigned

May 7, 2020

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 NY

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

Locations

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.

• Century Medical & Dental Center Inc

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1144399098
  Medicare reassignment NPD
• Niranjan K Mittal, Physician, PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1811939465
  NPD (past)
• Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1699704155
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1720600273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 11TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193535",
            "telephone_number": "212-369-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 11TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193535",
            "telephone_number": "212-369-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAJIC",
        "first_name": "BOGDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain Health Medical PC
• Brain Nerve & Spine PLLC
• Katherine Rose Brainard, PA-C
• Craig Braithwaite, PA-C
• Jason Braithwaite, D.C.
• Lee Brake, MD
• Michael Bral, DDS
• Pouya Bral, MA,CCC-A
• Jess Wallace Brallier, MD
• Benjamin Richard Bralove, M.D.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.