Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brad A Bagwell, DMD, PA

Individual provider General Practice Dentistry · NPI 1982637989

Dr. Brad A Bagwell, DMD, PA is a General Practice Dentistry in Cocoa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7171 N Cocoa Blvd
Cocoa, FL 32927-5094
Phone: (321) 631-5558
Fax: (321) 632-3226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN15097 (FL)

Record details

NPI number1982637989
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , PA
Sole proprietorYes
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007

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