Bryan I Gerstenberg DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN13732 Issued in FL

Legal business name

BRYAN I GERSTENBERG DDS PA

Practice address

905 Garden Gate Cir
Pensacola, FL 32504-8629

Phone

(850) 477-8668

NPI assigned

Sep 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Bryan I. Gerstenberg, DDSNPI 1619048493

Title

Owner

Phone

(850) 477-8668

Specialties & licenses 1

Addresses

Other names 1

• Airport Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Ian Gerstenberg, DDS

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1619048493
  NPD (past) Authorized official

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992214092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GARDEN GATE CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048629",
            "telephone_number": "850-477-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GARDEN GATE CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048629",
            "telephone_number": "850-477-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN I GERSTENBERG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GERSTENBERG",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-477-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Airport Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loretta Lin Bruner, LMT
• Burnell Paul Brunious, M.D.
• Bruno'S Supermarkets, LLC.
• Bruno'S Supermarkets, LLC.
• Brunos Inc
• Charles L Bryan, M.D.
• Katherine B Bryan, CRNA
• Patrick L Bryan, P.A.
• Russell Wayne Bryan, PA-C
• Stacy L Bryan, CRNA

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.