DR. PHILIP K BRANTLY DDS
NPI 1114112703
Dentist - General Practice in Goldsboro, NC

Active since September 07, 2007PECOS Enrolled
1100 PARKWAY DR, SUITE A, GOLDSBORO, NC 27534(919) 751-0711(919) 751-1248 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip K Brantly Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP K BRANTLY DDS (NPI 1114112703) is an individual general practice provider in Goldsboro, North Carolina, licensed in North Carolina (4613) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114112703
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILIP K BRANTLYCredential: DDS
Location Address1100 PARKWAY DR, SUITE AGoldsboro, NC 27534-3477
Mailing Address1100 Parkway Dr, Suite AGoldsboro, NC 27534-3477 · (919) 751-0711 · Fax (919) 751-1248
Fax(919) 751-1248
Sole ProprietorYes
Enumeration DateSeptember 7, 2007
NPI 1114112703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 4613
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1100 PARKWAY DR, Goldsboro, NC 27534

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Philip K Brantly Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Orthopedic)
1100 PARKWAY DR, SUITE B
GOLDSBORO, NC 27534
Family Medicine
1100 PARKWAY DR, SUITE C
GOLDSBORO, NC 27534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Brantly's NPI number?

The NPI number for Philip Brantly is 1114112703. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Where is Philip Brantly located?

Philip Brantly practices at 1100 Parkway Dr Suite A, Goldsboro, NC 27534. The listed phone number is (919) 751-0711.

What is Philip Brantly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Philip Brantly enrolled in Medicare?

Yes. Philip Brantly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Brantly was last updated on September 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.