Active NPI
Robert Early Brown III, DDS
- General Practice Dentistry
- St James City, FL
National Provider Identifier
1962842971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN20180
- Practice address
- 8359 Stringfellow Rd
St James City, FL 33956-2910 - Phone
- (239) 344-2354
- Fax
- (239) 283-9276
- NPI assigned
- Jul 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN20180 | FL | Primary |
Addresses
Primary practice location
8359 Stringfellow Rd
St James City, FL 33956-2910
Mailing address
PO Box 1357
Fort Myers, FL 33902-1357
Phone (239) 278-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009080600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 12, 2024 through Mar 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1962842971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1357",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339021357",
"telephone_number": "239-278-3600",
"fax_number": "239-278-3857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8359 STRINGFELLOW RD",
"city": "ST JAMES CITY",
"state": "FL",
"postal_code": "339562910",
"telephone_number": "239-344-2354",
"fax_number": "239-283-9276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ROBERT",
"middle_name": "EARLY",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN20180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009080600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St James City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.