Active NPI
Brent Rentfro, P.A.
- Medical Physician Assistant
- Brooksville, FL
National Provider Identifier
1194128454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9108229
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Enhabit Home Health
- HCA Florida Oak Hill Hospital
- Adventhealth Dade City
- Tampa General Hospital Brooksville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9108229 | FL | MD | Medical Physician Assistant |
Interoperability endpoints
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Brooksville, FL
- NPI 1902094857
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1346669447
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1164842225
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooksville, FL
- NPI 1750775003
-
- General Acute Care Hospital
- Dade City, FL
- NPI 1215444054
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
- Home Health Agency
- Spring Hill, FL
- NPI 1467488999
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1063294197
-
- General Acute Care Hospital
- Spring Hill, FL
- NPI 1275305013
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.