DR. BRADSHAW M STOUT DMD, MS
NPI 1972594307
Dentist - Periodontics in Niceville, FL
NPI Status: Active since November 03, 2005
Contact Information
719 BAYSHORE DR
NICEVILLE, FL
ZIP 32578
Phone: (850) 240-1455
- Individual
- Male
- Dentist
- Periodontics
About BRADSHAW STOUT
This page provides the complete NPI Profile along with additional information for Bradshaw Stout, a provider established in Niceville, Florida with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1972594307 assigned on November 2005. The practitioner's primary taxonomy code is 1223P0300X with license number DN29633 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1972594307
- Provider Name
- DR. BRADSHAW M STOUT DMD, MS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 719 BAYSHORE DR NICEVILLE, FL 32578
- Location Phone
- (850) 240-1455
- Mailing Address
- 209 SWEETWATER RUN NICEVILLE, FL 32578
- Mailing Phone
- (850) 714-7373
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-03-2005
- Last Update Date
- 10-02-2024
- Code Navigator
A dentist like Bradshaw Stout is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- DN29633
- License State
- FL
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | DN29633 (FL) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 5 | 9 | 4 | 3 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 10 | 9 | 8 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 0 + 9 + 8 + 3 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1972594307 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871731794 | DR. PATRICIA R FRANCISCO D.M.D. Individual | Dentist (Periodontics) | 719 BAYSHORE DR NICEVILLE, FL 32578 (850) 678-6485 |
| 1316185275 | DR. DENNIS B DAVIS D.M.D., M.S. Individual | Dentist (Periodontics) | 719 BAYSHORE DR NICEVILLE, FL 32578 (850) 678-6485 |
| 1437201712 | EMERALD COAST PERIODONTICS, P.A. Organization | Dentist (Periodontics) | 719 BAYSHORE DR NICEVILLE, FL 32578 (850) 678-6485 |
| 1588914543 | DR. MARTIN MCCLAIN WOOLSEY DDS Individual | Dentist (Periodontics) | 719 BAYSHORE DR EMERALD COAST PERIODONTICS NICEVILLE, FL 32578 (850) 678-6485 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972594307, enumerated in the NPI registry as an "individual" on November 03, 2005
The provider is located at 719 Bayshore Dr Niceville, Fl 32578 and the phone number is (850) 240-1455
The provider's speciality is Dentist with taxonomy code 1223P0300X with a focus in Periodontics
This NPI record was last updated on November 03, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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