Individual provider Active NPI

Bradley J Engle, DMD MHS

  • Periodontics
  • Naples, FL
National Provider Identifier
1760590129
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN15286 Issued in FL
Practice address
1390 9TH St N
Naples, FL 34102-5203
Phone
(239) 593-2178
Fax
(239) 593-2179
NPI assigned
Aug 27, 2006
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15286 FL
Periodontics 1223P0300X DN15286 FL Primary

Addresses

Primary practice location

1390 9TH St N
Naples, FL 34102-5203

Mailing address

5623 Naples Blvd
Naples, FL 34109-2023
Phone (239) 213-1500

Other practice location 1

27180 Bay Landing Dr Ste 4
Bonita Springs, FL 34135-4337
Phone (239) 213-1500

Other practice location 2

1845 San Marco Rd Ste 100
Marco Island, FL 34145-6712
Phone (239) 394-4906

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126000334 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1557664539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Engle Dentistry Marco, LLC Dentist PastSince Dec 28, 2025 Accepting new patients
Engle Dentistry Bonita LLC Dentist PastSince Dec 28, 2025 Accepting new patients
Engle Dentistry Marco Dentist PastSince Sep 13, 2020 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1760590129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 NAPLES BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092023",
            "telephone_number": "239-213-1500",
            "fax_number": "239-213-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 9TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025203",
            "telephone_number": "239-593-2178",
            "fax_number": "239-593-2179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27180 Bay Landing Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354337",
            "country_code": "US",
            "telephone_number": "239-213-1500",
            "fax_number": "239-213-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1845 San Marco Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marco Island",
            "state": "FL",
            "postal_code": "341456712",
            "country_code": "US",
            "telephone_number": "239-394-4906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD MHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15286",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN15286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.