Simarta Frances Brennan-Prescod, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME109482 Issued in FL

Practice address

8950 Dr Martin Luther King Jr St N Ste 180
St Petersburg, FL 33702-3001

Phone

(727) 576-8900

Fax

(727) 570-9045

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: simarta.brennanprescod@wellmed.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optumcare Florida LLC

  • General Practice Physician
  • Tampa, FL
  • NPI 1053384214

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Nephrology Associates PA

  • Nephrology Physician
  • Panama City, FL
  • NPI 1336145580

  Single Specialty

  Medicare reassignment NPD
• Optumcare Florida, LLC

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1659884294

  Single Specialty

  NPD
• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1104121920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING JR ST N STE 180",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337023001",
            "telephone_number": "727-576-8900",
            "fax_number": "727-570-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING JR ST N STE 180",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023001",
            "telephone_number": "727-576-8900",
            "fax_number": "727-570-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 N MacArthur Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324013636",
            "country_code": "US",
            "telephone_number": "850-769-2158",
            "fax_number": "850-785-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN-PRESCOD",
        "first_name": "SIMARTA",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME109482",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013457300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breezy Mental Health, LLC
• Branwyn L Bregler
• Daneen Breitenbach, APRN, NNP-BC
• Brenda Lees Begin Again Inc
• Brenda S Kinard MD PA
• Elizabeth Marie Brennan, M.D.
• Brent W Carmack MD PA
• Nyiesha K. Brent, OTA
• Michele Breske
• Jessica Breslin, LMHC, LMFT

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.