1. Home
  2. Directory
  3. Florida
  4. Hurlburt Field
  5. Dentist
  6. NPI Profile

DR. KERRY REDDING BRANTLY D.D.S.
NPI 1891800942
Dentist - General Practice in Hurlburt Field, FL

Active since August 20, 2006PECOS Enrolled
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544(850) 881-2337(850) 881-2323 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. Kerry Redding Brantly D.d.s. NPPES

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

DR. KERRY REDDING BRANTLY D.D.S. (NPI 1891800942) is an individual general practice provider in Hurlburt Field, Florida, licensed in Michigan (2901019216) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891800942
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KERRY REDDING BRANTLYCredential: D.D.S.
Location Address113 LIELMANIS AVEHurlburt Field, FL 32544-5613
Mailing Address113 Lielmanis AveHurlburt Field, FL 32544-5613 · (850) 881-2337 · Fax (850) 881-2323
Phone(850) 881-2337
Fax(850) 881-2323
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891800942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901019216
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.
113 LIELMANIS AVE, Hurlburt Field, FL 32544
Open in Google Maps ↗

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. Kerry Redding Brantly D.d.s. 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 32544 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.

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.

JOSE ENCARNACION LUCIO
Technician, Other
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5855
DR. DON VONGVIPHUT DO
General Practice
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1020
DERICK MAYBERRY DDS
Dentist (Periodontics)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-2000
DR. ROBERT KESEAD JR. O.D.
Optometrist
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 883-3187
MS. DEBORAH K LANIUS MSN FNP
Nurse Practitioner (Family)
113 LIELMANIS AVE, 1 SOMDG
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5221
WENDY S BORN CNP
Nurse Practitioner (Family)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1257
BRITTON ADAMS IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 884-1206
MRS. LISA MCFARLAND IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 621-2865

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 Kerry Brantly's NPI number?

The NPI number for Kerry Brantly is 1891800942. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Kerry Brantly located?

Kerry Brantly practices at 113 Lielmanis Ave, Hurlburt Field, FL 32544. The listed phone number is (850) 881-2337.

What is Kerry Brantly's specialty?

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

Is Kerry Brantly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kerry Brantly 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.