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DR. J. BRENT BARTRUFF D.M.D.
NPI 1558450585
Dentist - Periodontics in Fort Walton Beach, FL

Active since October 11, 2006PECOS Enrolled
930 MAR WALT DR # B, FORT WALTON BEACH, FL 32547(850) 862-6666 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. J. Brent Bartruff D.m.d. NPPES

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

DR. J. BRENT BARTRUFF D.M.D. (NPI 1558450585) is an individual periodontics provider in Fort Walton Beach, Florida, licensed in Florida (DN 14824) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558450585
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. J. BRENT BARTRUFFCredential: D.M.D.
Location Address930 MAR WALT DR # BFort Walton Beach, FL 32547-6706
Mailing Address930 Mar Walt Dr # BFort Walton Beach, FL 32547-6706 · (850) 862-6666
Phone(850) 862-6666
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1558450585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN 14824
Definition
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.
930 MAR WALT DR # B, Fort Walton Beach, FL 32547
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Other Identifiers 2

Other43800470FL · Tx Id
OtherDN 14824FL · Dental Licence

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. J. Brent Bartruff D.m.d. 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 32547 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 J. Brent Bartruff's NPI number?

The NPI number for J. Brent Bartruff is 1558450585. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is J. Brent Bartruff located?

J. Brent Bartruff practices at 930 Mar Walt Dr # B, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-6666.

What is J. Brent Bartruff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is J. Brent Bartruff enrolled in Medicare?

Yes. J. Brent Bartruff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for J. Brent Bartruff 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.