DR. BRENDALIZ BRISTOL MARTIR DMD
NPI 1356697361
Dentist in Vineland, NJ
About Dr. Brendaliz Bristol Martir Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRENDALIZ BRISTOL MARTIR DMD (NPI 1356697361) is an individual dentist in Vineland, New Jersey, licensed in New Jersey (22DI02545300) and active in the NPI registry since July 2012. She has opted out of Medicare through September 8, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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. Brendaliz Bristol Martir Dmd 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 September 8, 2020 through September 8, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brendaliz Bristol Martir's NPI number?
The NPI number for Brendaliz Bristol Martir is 1356697361. It was assigned to this individual provider in the NPPES registry on July 27, 2012.
Where is Brendaliz Bristol Martir located?
Brendaliz Bristol Martir practices at 2550 S Main Rd, Vineland, NJ 08360. The listed phone number is (856) 839-7019.
What is Brendaliz Bristol Martir's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Brendaliz Bristol Martir enrolled in Medicare?
No. Brendaliz Bristol Martir has opted out of Medicare through September 8, 2026. 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.
What insurance does Brendaliz Bristol Martir accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Brendaliz Bristol Martir as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brendaliz Bristol Martir was last updated on July 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Brendaliz Bristol Martir, DMD · NPI 1356697361
Dentist provider in Vineland, New Jersey. Individual provider, active in the CMS NPPES registry since July 27, 2012.
## Identity
- **NPI:** 1356697361 (Entity type: Individual)
- **Enumerated:** July 27, 2012
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 22DI02545300 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2550 S MAIN RD, Vineland, NJ 08360-7138
- **Phone:** (856) 839-7019
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 8, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356697361) · Data from the CMS NPPES public registry.