DR. BRADSHAW M STOUT (DMD, MS) – Periodontics, NPI 1972594307

DR. BRADSHAW M STOUT (DMD, MS) is a healthcare provider. based in Hurlburt field, Florida. specializing in Periodontics. They hold the professional credentials DMD, MS. They hold a License No. DN29633 (FL). The NPI Number for DR. BRADSHAW M STOUT (DMD, MS) is 1972594307

Main info

Male
Sole Proprietor
Name
DR. BRADSHAW M STOUT (DMD, MS)
NPI
1972594307
Phone
Not provided
Address
113 LIELMANIS AVE
Enumeration Date
3 November 2005
Last Update Date
2 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRADSHAW M STOUT (DMD, MS)

  • 1st Special Operations Medical Group - Hurlburt Field, 113, Lielmanis Avenue, Mary Esther, Okaloosa County, Florida, 32544, United States

    HURLBURT FIELD, FL 32544

    Phone:

    Type: Mailing

  • UNIT 6108 BOX 245

    APO, AE 096046108

    Phone:

    Type: Mailing

  • UNIT 6180

    APO, AE 096046180

    Phone: (314) 632-5463

    Type: Location

  • 209 SWEETWATER RUN

    NICEVILLE, FL 325781637

    Phone: (850) 714-7373

    Type: Mailing

  • 719 BAYSHORE DR

    NICEVILLE, FL 325782527

    Phone: (850) 240-1455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ZIMVIE INC. ($42).

Total Amount

$42

General + Research + Ownership

Payments

1

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ZIMVIE INC.$42
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32544)

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Reviews

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Frequently asked questions

Is DR. BRADSHAW M STOUT (DMD, MS) listed with a National Provider Identifier?
Yes — DR. BRADSHAW M STOUT (DMD, MS) has NPI 1972594307 on file in the registry.
Is there an active status for DR. BRADSHAW M STOUT (DMD, MS)?
For scheduling context, DR. BRADSHAW M STOUT (DMD, MS) is shown as active in the registry.
What kind of doctor is DR. BRADSHAW M STOUT (DMD, MS)?
DR. BRADSHAW M STOUT (DMD, MS) is associated with Periodontics in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is DR. BRADSHAW M STOUT (DMD, MS) registered?
Use Hurlburt Field, Florida as the headline location for DR. BRADSHAW M STOUT (DMD, MS) here.
Does DR. BRADSHAW M STOUT (DMD, MS) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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