Individual provider Active NPI

Brent Rentfro, P.A.

  • Medical Physician Assistant
  • Brooksville, FL
National Provider Identifier
1194128454
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9108229 Issued in FL
Practice address
44 Veterans Ave
Brooksville, FL 34601-3215
Phone
(352) 797-3500
Fax
(352) 797-3526
NPI assigned
Oct 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9108229 FL Primary

Addresses

Primary practice location

44 Veterans Ave
Brooksville, FL 34601-3215

Mailing address

44 Veterans Ave
Brooksville, FL 34601-3215
Phone (352) 797-3500

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150102000739 FL Practitioner - Physician Assistant 1355664079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Hospital Family Practice LLCGroup PAC ID 2264595941, 44 clinicians

Practice addresses (Care Compare)

44 Veterans Ave
Brooksville, FL 34601-3215
Phone (352) 797-3500

7515 State Rd
52 Suite 102
Hudson, FL 34667-6757
Phone (727) 863-0008

Hospital & facility affiliations

  • Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
  • Enhabit Home Health Home health agency, Brooksville, FL, CCN 108449
  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108229FLMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: brent.rentfro@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1194128454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 VETERANS AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013215",
            "telephone_number": "352-797-3500",
            "fax_number": "352-797-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VETERANS AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013215",
            "telephone_number": "352-797-3500",
            "fax_number": "352-797-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTFRO",
        "first_name": "BRENT",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.