Brad Lewis, D.M.D., P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10097 Issued in FL

Legal business name

BRAD LEWIS, D.M.D., P.A.

Practice address

1400 NE Miami Gardens Dr
Ste 201
North Miami Beach, FL 33179-4845

Phone

(305) 944-4373

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brad Lewis, D.M.D.NPI 1376567685

Title

President

Phone

(305) 944-4373

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brad Lewis, D.M.D.

  • General Practice Dentistry
  • Hollywood, FL
  • NPI 1376567685
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932231248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR",
            "address_2": "STE 201",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794845",
            "telephone_number": "305-944-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR",
            "address_2": "STE 201",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794845",
            "telephone_number": "305-944-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD LEWIS, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-944-4373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "10097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bonczek, LCSW
• Yaima Bonet, ARNP
• Paul Cautrell Borgella
• Maria Isabel Botero
• Brace Plus LLC
• Reynold Sylvester Braithwaite, M.D.
• Bravo Dental P.a.
• Ellen S Brazer, MS, LMHC
• Brazilian Clinic LLC (Medstation)
• Breathe Chiropractic, LLC

• Dental Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.