Active NPI
Todd J Brennan, DPM
- Podiatrist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3584
- Practice address
- 13801 Bruce B Downs Blvd
Suite 205
Tampa, FL 33613-3946 - Phone
- (813) 971-4678
- Fax
- (813) 978-8564
- NPI assigned
- Jul 1, 2010
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO3584 | FL | Primary |
Addresses
Primary practice location
13801 Bruce B Downs Blvd
Suite 205
Tampa, FL 33613-3946
Mailing address
13801 Bruce B Downs Blvd
Suite205
Tampa, FL 33613-3946
Phone (813) 971-4678
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008391200 | Medicaid | FL | |
| DD7044 | Other | FL | RAILROAD MEDICARE GROUP NUMBER |
| M2475 | Other | FL | MEDICARE GROUP PTAN |
| M2485 | Other | FL | MEDICARE PTAN |
| PO3584 | Other | FL | MEDICAL LICENSE |
| M2487 | Other | FL | MEDICARE PTAN |
| M2469 | Other | FL | MEDICARE GROUP PTAN |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
10865 Boyette Rd
Riverview, FL 33569-8012
Phone (813) 971-4671
17222 Hospital Blvd
Suite 218
Brooksville, FL 34601-8925
Phone (352) 786-7800
2919 W Swann Ave
Suite 203
Tampa, FL 33609-4050
Phone (813) 875-0555
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 157 |
| Removal of skin lesions | 42 |
| Removal of nail tissue | 894 |
| Removal or shaving of skin growth | 834 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3584 | FL | MD | Podiatrist |
Interoperability endpoints
- todd.brennan@direct.meditouchehr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot Surgery Podiatrist
- Tampa, FL
- NPI 1982756706
-
- Foot Surgery Podiatrist
- Brooksville, FL
- NPI 1457510398
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Wesley Chapel
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1316258627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD",
"address_2": "SUITE205",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133946",
"telephone_number": "813-971-4678",
"fax_number": "813-482-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD",
"address_2": "SUITE 205",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133946",
"telephone_number": "813-971-4678",
"fax_number": "813-978-8564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "TODD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-01",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008391200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP NUMBER",
"identifier": "DD7044",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "M2475",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M2485",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PO3584",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M2487",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "M2469",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.