Individual provider Active NPI

Lourdes C Brizard, DMD

  • Dentist
  • Portage, MI
National Provider Identifier
1760124754
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602028 Issued in MI
Practice address
5200 S Westnedge Ave
Portage, MI 49002-0405
Phone
(269) 382-6656
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27599 FL
Dentist 122300000X 2901602028 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5200 S Westnedge Ave
Portage, MI 49002-0405

Mailing address

86 SW 8TH St Unit 2407
Miami, FL 33130-3795
Phone (786) 314-3863

Other practice location 1

3401 S Congress Ave Ste 206
Palm Springs, FL 33461-3066
Phone (561) 366-2222

Other practice location 2

2950 SW 8th St
Miami, FL 33135-2827
Phone (305) 456-9417

Other practice location 3

4919 Sheridan St Ste 50
Hollywood, FL 33021-2823
Phone (954) 510-9898

Other practice location 4

4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Phone (305) 825-9899

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

LicenseStateTypeSpecialty
DN27599FLMDDentist
2901602028MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Children'S Dentistry, P.a. Past Accepting new patients
Dental Dreams PLLC PastSince Sep 21, 2025 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1760124754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 SW 8TH ST UNIT 2407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303795",
            "telephone_number": "786-314-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S WESTNEDGE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020405",
            "telephone_number": "269-382-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 S Congress Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334613066",
            "country_code": "US",
            "telephone_number": "561-366-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352827",
            "country_code": "US",
            "telephone_number": "305-456-9417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4919 Sheridan St Ste 50",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330212823",
            "country_code": "US",
            "telephone_number": "954-510-9898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 W 16th Ave Ste 52",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127193",
            "country_code": "US",
            "telephone_number": "305-825-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIZARD",
        "first_name": "LOURDES",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27599",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602028",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.