Brenda M O'Hair, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102155 Issued in FL

Practice address

1755 N Florida Ave
Lakeland, FL 33805-3109

Phone

(863) 904-6201

Fax

(863) 904-6294

NPI assigned

Feb 8, 2006

Last updated

Oct 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brenda Lou O'Hair Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, GA, TX3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Watson Clinic LLPGroup PAC ID 1456258979, 365 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bohair6748@direct.watsonclinicad.com

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.

• Watson Clinic LLP

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1316940695
  Medicare reassignment Care Compare group
• Atlanta North Dermatology & Skin Care, Inc.

  • Dermatology Physician
  • Woodstock, GA
  • NPI 1215191085
  Medicare reassignment
• Lubbock Dermatology and Skin Cancer Center

  dba Lubbock Dermatology

  • Dermatology Physician
  • Lubbock, TX
  • NPI 1295721066
  Medicare reassignment
• On Site Dermatology of Texas PLLC

  • Dermatology Physician
  • Cedar Park, TX
  • NPI 1568808459
  Medicare reassignment
• Watson Clinic LLP

  dba Watson Clinic LLP Highlands

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1780988816
  NPD (past)
• Dermatology and Skin Surgery Center, PC

  • Dermatology Physician
  • Exton, PA
  • NPI 1871546325
  NPD (past)
• Pennsylvania Centre for Dermatology, LLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1861501801
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1386617504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053065",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053109",
            "telephone_number": "863-904-6201",
            "fax_number": "863-904-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HAIR",
        "first_name": "BRENDA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bohair6748@direct.watsonclinicad.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Watson Clinic LLP",
            "address_1": "1430 Lakeland Hills Blvd",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338053202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "O'HAIR",
            "middle_name": "LOU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bradley O'Brien, RBT
• Marcy G. O'Brien, M.A. CCC-A, F-AAA
• Taylor O'Byrne, PA-C
• Jennifer O'Connor Hijuelos
• Lauren Marie O'Connor, RN
• Dan O'Kero
• Amanda Marie O'Neil, ARNP
• Brenna E O'Neill, DPT
• Kristy Laine O'Neill, FNP
• Oakbridge Health Care Associates LLC (Oakbridge Healthcare Center)

• Physician Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.