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

DR. BRADSHAW M STOUT DMD, MS
NPI 1972594307
Dentist - Periodontics in Niceville, FL

Active since November 03, 2005
719 BAYSHORE DR, NICEVILLE, FL 32578(850) 240-1455 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2024, Mar 2, 2022, Apr 27, 2018 (3 updates tracked since 2018).

About Dr. Bradshaw M Stout Dmd, Ms NPPES

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

DR. BRADSHAW M STOUT DMD, MS (NPI 1972594307) is an individual periodontics provider in Niceville, Florida, licensed in Florida (DN29633) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1972594307
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BRADSHAW M STOUTCredential: DMD, MS
Location Address719 BAYSHORE DRNiceville, FL 32578-2527
Mailing Address209 Sweetwater RunNiceville, FL 32578-1637 · (850) 714-7373
Phone(850) 240-1455
Sole ProprietorYes
Enumeration DateNovember 3, 2005
Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1972594307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN29633
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.

Also ListedDentistTaxonomy 122300000X · License DN29633 (FL)
719 BAYSHORE DR, Niceville, FL 32578
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

DR. PATRICIA R FRANCISCO D.M.D.
Dentist (Periodontics)
719 BAYSHORE DR
NICEVILLE, FL 32578
Okaloosa County (850) 678-6485
DR. DENNIS B DAVIS D.M.D., M.S.
Dentist (Periodontics)
719 BAYSHORE DR
NICEVILLE, FL 32578
Okaloosa County (850) 678-6485
EMERALD COAST PERIODONTICS, P.A.
Dentist (Periodontics)
719 BAYSHORE DR
NICEVILLE, FL 32578
Okaloosa County (850) 678-6485
DR. MARTIN MCCLAIN WOOLSEY DDS
Dentist (Periodontics)
719 BAYSHORE DR, EMERALD COAST PERIODONTICS
NICEVILLE, FL 32578
Okaloosa County (850) 678-6485

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 Bradshaw Stout's NPI number?

The NPI number for Bradshaw Stout is 1972594307. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Bradshaw Stout located?

Bradshaw Stout practices at 719 Bayshore Dr, Niceville, FL 32578. The listed phone number is (850) 240-1455.

What is Bradshaw Stout's specialty?

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

When was this NPI record last updated?

The NPPES record for Bradshaw Stout was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.