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DR. EDWARD M BRAM D.M.D.
NPI 1114930666
Dentist - General Practice in Lake Grove, NY

Active since August 15, 2006Opted out of Medicare · through Nov 5, 2027
2233 NESCONSET HWY, SUITE 101, LAKE GROVE, NY 11755(631) 588-3636(631) 588-3637 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edward M Bram D.m.d. NPPES

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

DR. EDWARD M BRAM D.M.D. (NPI 1114930666) is an individual general practice provider in Lake Grove, New York, licensed in New York (028430) and active in the NPI registry since August 2006. He has opted out of Medicare through November 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114930666
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDWARD M BRAMCredential: D.M.D.
Location Address2233 NESCONSET HWY, SUITE 101Lake Grove, NY 11755-1000
Mailing Address2233 Nesconset Hwy, Suite 101Lake Grove, NY 11755-1000 · (631) 588-3636 · Fax (631) 588-3637
Phone(631) 588-3636
Fax(631) 588-3637
Sole ProprietorYes
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114930666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 028430
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.
2233 NESCONSET HWY, Lake Grove, NY 11755
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Edward M Bram D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 5, 2015 through November 5, 2027.

Opt-Out Effective DateNovember 5, 2015
Opt-Out In Effect ThroughNovember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11755 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

EAST COAST FERTILITY, P.C.
Obstetrics & Gynecology (Reproductive Endocrinology)
2233 NESCONSET HWY, SUITE 107
LAKE GROVE, NY 11755
Suffolk County (516) 939-2229
TONI ANN E MULE MHC-LP
Counselor (Mental Health)
2233 NESCONSET HWY
LAKE GROVE, NY 11755
Suffolk County (631) 560-0994
DR. CLIFFORD A. DUKOFSKY D.C.
Chiropractor
2233 NESCONSET HWY, SUITE 102
LAKE GROVE, NY 11755
Suffolk County (631) 698-9800
SMITH HAVEN DENTISTRY, PLLC
Clinic/Center (Dental)
2233 NESCONSET HWY, STE #101
LAKE GROVE, NY 11755
Suffolk County (631) 588-3636
ANDREW HERBST LMHC
Counselor (Mental Health)
2233 NESCONSET HWY
LAKE GROVE, NY 11755
Suffolk County (631) 521-9603
DR. JOHN TSOURIS D.P.M.
Podiatrist (Foot Surgery)
2233 NESCONSET HWY, SUITE 206
LAKE GROVE, NY 11755
Suffolk County (631) 751-4603
MS. JENNIFER FAZIO LMSW
Social Worker (Clinical)
2233 NESCONSET HWY, SUITE 104
LAKE GROVE, NY 11755
Suffolk County (631) 737-5559
MARIO BRAJUHA LMSW
Social Worker (Clinical)
2233 NESCONSET HWY
LAKE GROVE, NY 11755
Suffolk County (631) 737-5559

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 Edward Bram's NPI number?

The NPI number for Edward Bram is 1114930666. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Edward Bram located?

Edward Bram practices at 2233 Nesconset Hwy Suite 101, Lake Grove, NY 11755. The listed phone number is (631) 588-3636.

What is Edward Bram's specialty?

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

Is Edward Bram enrolled in Medicare?

No. Edward Bram has opted out of Medicare through November 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edward Bram was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.