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Surfside Orthodontics PA

Orthodontics and Dentofacial Orthopedics Dentistry in Fort Walton Beach, FL · enumerated 2013 · authorized official Brodie Bowman, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205176021

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Registry record

Entity type Organization (Type 2)
Legal business name Surfside Orthodontics PA
Practice address 28 Racetrack Rd Nw, Fort Walton Beach, FL, 32547
Phone (850) 863-2122
Fax (850) 863-5812
Enumeration date Feb 15, 2013
Last updated in NPPES Feb 15, 2013

Taxonomy & classification

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License 16286 (FL) Primary

Authorized official

Name Brodie Bowman
Title Owner
Phone (850) 863-2122

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Surfside Orthodontics PA?
NPPES lists Brodie Bowman (Owner) as the authorized official for this organization.
What is the NPI number for Surfside Orthodontics PA?
The NPI for Surfside Orthodontics PA is 1205176021, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-15.