DR. BRUNO FELIPE DANTAS (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1104909704

DR. BRUNO FELIPE DANTAS (M.D.) is a healthcare provider. based in Bangor, Maine. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. LL 26947 (SC). The NPI Number for DR. BRUNO FELIPE DANTAS (M.D.) is 1104909704

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUNO FELIPE DANTAS (M.D.)
NPI
1104909704
Phone
(207) 941-8200
Address
417 STATE STREET
Enumeration Date
24 October 2006
Last Update Date
22 February 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
6094418146
Graduation Year
2004 (22 years ago)
PAC ID
5799825923
Group Practice PAC ID
8527953660
Professional Enrollment ID
I20110513000015
Address ID
NJ084016713AT1925XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

355 PATHOLOGY in NJ

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Provider Addresses for DR. BRUNO FELIPE DANTAS (M.D.)

  • 417, State Street, Bangor, Penobscot County, Maine, 04401, United States

    WEBBER WEST BLDG, SUITE 541

    BANGOR, ME 04401

    Phone: (207) 941-8200

    Fax: (207) 990-4846

    Type: Mailing

  • Atlanticare Regional Medical Center, 1925, Pacific Avenue, Atlantic City, Atlantic County, New Jersey, 08401, United States

    ATLANTIC CITY, NJ 084016713

    Phone: (609) 441-2147

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110513000015IPathologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity814483$0
88341Special stained specimen slides to examine tissue, each additional procedure596127$0
88342Special stained specimen slides to examine tissue, initial procedure194162$0
88307Pathology examination of tissue using a microscope, moderately high complexity183131$0
88304Pathology examination of tissue using a microscope, moderately low complexity144131$0
View full utilization report →

Insurance plans in this area (ZIP 04401)

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Provider's Procedures

DR. BRUNO FELIPE DANTAS (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYNJ88304Pathology examination of tissue using a microscope, moderately low complexity8174
PATHOLOGYNJ88307Pathology examination of tissue using a microscope, moderately high complexity9959
PATHOLOGYNJ88312Special stained specimen slides to identify organisms including interpretation and report8872

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527953660View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)NJ
Nurse PractitionerNJ
Emergency MedicineOH
Certified Nurse Midwife (Cnm)NJ
Emergency MedicineOH
-NJ
-NJ
Internal Medicine, Cardiovascular Disease (Cardiology)NJ
Internal MedicineNJ
-NJ

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Frequently asked questions

What federal number belongs to DR. BRUNO FELIPE DANTAS (M.D.)?
The federal identifier for DR. BRUNO FELIPE DANTAS (M.D.) is NPI 1104909704.
Is DR. BRUNO FELIPE DANTAS (M.D.)'s NPI currently valid?
The extract we use shows DR. BRUNO FELIPE DANTAS (M.D.) as active.
What field does DR. BRUNO FELIPE DANTAS (M.D.) work in?
You can think of DR. BRUNO FELIPE DANTAS (M.D.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRUNO FELIPE DANTAS (M.D.)?
The page summarizes Bangor, Maine for DR. BRUNO FELIPE DANTAS (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.