Brandon Michael Fitzgerald, DMD

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

DS041005 Issued in PA

Practice address

625 W 57TH St
Apt 463
New York, NY 10019-2937

Phone

(702) 326-6745

NPI assigned

Mar 30, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1801139662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W 57TH ST APT 463",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W 57TH ST",
            "address_2": "APT 463",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192937",
            "telephone_number": "702-326-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-30",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS041005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Alison Fitts, LCSW
• Fitwar Systems LLC
• Cecilia Fitz-Gerald, MD
• Shana Fitz
• John Fitzcharles, RPH.
• Brittany Lynn Fitzgerald, NP
• Cathlin Fitzgerald, PT, DPT
• Conall Fitzgerald, MB BCH MCH MSC FRCS
• Daniel William Fitzgerald
• Eileen Frances Fitzgerald, PH.D.

• Dental Anesthesiology in New York, NY
• Providers in New York, NY by specialty
• Dental Anesthesiology in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.