Daniel Brumley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601064 Issued in MI

Practice address

3400 Montgomery Hwy Ste 1
Dothan, AL 36303-1270

Phone

(334) 803-8700

NPI assigned

Oct 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Southeast Dental Works LLC

  • General Practice Dentistry
  • Dothan, AL
  • NPI 1568056257
  NPD

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1760089619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 FLOWERS CHAPEL RD APT R123",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MONTGOMERY HWY STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031270",
            "telephone_number": "334-803-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMLEY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "0006819-C1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Brown, LMT
• Isabella Browning
• Susan Elaine Broyles, CRNP
• Courtney Brue, PMHNP
• Laura Brumfield-Collier, MA, BCBA
• Timothy Patrick Bruns, CRNA
• Kelli Brunson, MS CCC-SLP
• Amy Bishop Bryant, PHARMD
• Richard Bryant, MD
• Zachary James Bryant, MD

• General Practice Dentistry in Dothan, AL
• Providers in Dothan, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.