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DR. BRADLY JAMES MOURITSEN DMD
NPI 1366978082
Dentist in Naples, FL

Active since May 02, 2017PECOS Enrolled
3467 PINE RIDGE RD STE 101, NAPLES, FL 34109(239) 251-5045 Get Directions Write a Review

NPPES record last updated: October 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2024, Aug 20, 2020, Apr 18, 2018 (3 updates tracked since 2018).

About Dr. Bradly James Mouritsen Dmd NPPES

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

DR. BRADLY JAMES MOURITSEN DMD (NPI 1366978082) is an individual dentist in Naples, Florida, licensed in Florida (DN25384) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366978082
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRADLY JAMES MOURITSENCredential: DMD
Location Address3467 PINE RIDGE RD STE 101Naples, FL 34109-3832
Mailing Address3467 Pine Ridge Rd Ste 101Naples, FL 34109-3832 · (239) 251-5045
Phone(239) 251-5045
Sole ProprietorNo
Enumeration DateMay 2, 2017
Last NPPES UpdateOctober 5, 20243 updates tracked since enumeration
NPPES CertifiedOctober 5, 2024
✔ NPI 1366978082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in FL · DN25384✔ Licensed in SD · D1172✔ Licensed in UT · 10341065-9922
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3467 PINE RIDGE RD STE 101, Naples, FL 34109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

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. Bradly James Mouritsen Dmd 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 34109 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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

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

KING BENJAMIN DENTAL PLLC
Dentist
3467 PINE RIDGE RD STE 101
NAPLES, FL 34109
Collier County (239) 251-5045

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 Bradly Mouritsen's NPI number?

The NPI number for Bradly Mouritsen is 1366978082. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Bradly Mouritsen located?

Bradly Mouritsen practices at 3467 Pine Ridge Rd Ste 101, Naples, FL 34109. The listed phone number is (239) 251-5045.

What is Bradly Mouritsen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bradly Mouritsen enrolled in Medicare?

Yes. Bradly Mouritsen is registered in the Medicare PECOS enrollment system.

What insurance does Bradly Mouritsen accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Bradly Mouritsen 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 Bradly Mouritsen was last updated on October 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.