Surfside Orthodontics PA
NPI 1205176021 · Orthodontics and Dentofacial Orthopedics Dentistry · Fort Walton Beach, FL
Surfside Orthodontics PA is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Fort Walton Beach, FL (NPI 1205176021).
Provider details
- NPI number
- 1205176021
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brodie Bowman, Owner(850) 863-2122
- License
- 16286 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-02-15
- Last updated
- 2013-02-15
Frequently asked questions
- What is Surfside Orthodontics PA's NPI number?
- Surfside Orthodontics PA's National Provider Identifier (NPI) is 1205176021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surfside Orthodontics PA?
- Surfside Orthodontics PA is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Surfside Orthodontics PA located?
- Surfside Orthodontics PA's practice location on file with NPPES is 28 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1640.
- What is Surfside Orthodontics PA's phone number?
- The practice phone number listed in the NPPES registry for Surfside Orthodontics PA is (850) 863-2122.
- Who is the authorized official for Surfside Orthodontics PA?
- The authorized official listed on Surfside Orthodontics PA's NPPES record is Brodie Bowman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surfside Orthodontics PA's NPI active?
- Yes — Surfside Orthodontics PA's NPI (1205176021) is active in the NPPES registry as of the last update on 2013-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.