Active NPI
Brandon Wolf, D.M.D
- Dentist
- Tampa, FL
National Provider Identifier
1730597709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28661
- Practice address
- 16506 Pointe Village Dr.
Suite 101
Tampa, FL 33647 - Phone
- (813) 906-5668
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN28661. | FL | |
| Dentist | 122300000X | DN28661 | FL | Primary |
| Dentist | 122300000X | DS039738 | PA | |
| Dentist | 122300000X | D.007302-C | AL | |
| Dentist | 122300000X | 8352 | SC |
Addresses
Primary practice location
16506 Pointe Village Dr.
Suite 101
Tampa, FL 33647
Mailing address
2817 Rock Merritt Ave
Womack Army Medical Center
Fort Bragg, NC 28310-0001
Phone (910) 907-8922
Other practice location 1
1205 Boll Weevil Cir
Enterprise, AL 36330-1377
Phone (330) 502-7292
Other practice location 2
2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001
Phone (910) 907-8922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8352 | SC | MD | Clinical Social Worker |
| D.007302-C | AL | MD | Dentist |
| DN28661 | FL | MD | Dentist |
| DN28661. | FL | MD | Dentist |
| DS039738 | PA | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1730597709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"address_2": "WOMACK ARMY MEDICAL CENTER",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16506 POINTE VILLAGE DR.",
"address_2": "SUITE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647",
"telephone_number": "813-906-5668"
}
],
"practiceLocations": [
{
"address_1": "1205 Boll Weevil Cir",
"address_purpose": "LOCATION",
"city": "Enterprise",
"state": "AL",
"postal_code": "363301377",
"country_code": "US",
"telephone_number": "330-502-7292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2817 Rock Merritt Ave Womack Army Medical Center",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "NC",
"postal_code": "283100001",
"country_code": "US",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLF",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28661.",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28661",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039738",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D.007302-C",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8352",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.