OrganizationActive
Maryam Brazdo, DMD, PA
NPI 1295000339 · General Practice Dentistry · Melbourne, FL
Maryam Brazdo, DMD, PA is a General Practice Dentistry organization in Melbourne, FL (NPI 1295000339).
Provider details
- NPI number
- 1295000339
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Maryam Brazdo, President(321) 243-2030
- License
- DN18392 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1061 S Wickham Rd
Melbourne, FL 32904-1652
Phone: (321) 724-1400
Street-level locationGet directions
Mailing address
1061 S Wickham Rd
Melbourne, FL 32904-1652
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2012-03-21
Frequently asked questions
- What is Maryam Brazdo, DMD, PA's NPI number?
- Maryam Brazdo, DMD, PA's National Provider Identifier (NPI) is 1295000339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryam Brazdo, DMD, PA?
- Maryam Brazdo, DMD, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Maryam Brazdo, DMD, PA located?
- Maryam Brazdo, DMD, PA's practice location on file with NPPES is 1061 S Wickham Rd, Melbourne, FL 32904-1652.
- What is Maryam Brazdo, DMD, PA's phone number?
- The practice phone number listed in the NPPES registry for Maryam Brazdo, DMD, PA is (321) 724-1400.
- Who is the authorized official for Maryam Brazdo, DMD, PA?
- The authorized official listed on Maryam Brazdo, DMD, PA's NPPES record is Maryam Brazdo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryam Brazdo, DMD, PA's NPI active?
- Yes — Maryam Brazdo, DMD, PA's NPI (1295000339) is active in the NPPES registry as of the last update on 2012-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.