MEDICARE: DEAN A BRAMLET MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME038108	FL
2	207RC0000X	Cardiovascular Disease Physician	103167	WI
3	207RC0000X	Cardiovascular Disease Physician	036174924	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164536488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN A BRAMLET MD

Provider Business Mailing Address
First Line	:	PO BOX 20912
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33622-0912
Country	:	US
Telephone Number	:	727-345-1313
Fax Number	:	727-345-0166

Provider Business Practice Location Address
First Line	:	4820 PARK BLVD N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3534
Country	:	US
Telephone Number	:	727-345-1313
Fax Number	:	727-345-0166

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	12/08/2025

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Directions to “ DEAN A BRAMLET MD” Practice Location

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