Active NPI
Brenton Brendon Bennett, RN
- Registered Nurse
- Florida City, FL
National Provider Identifier
1417874793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9707955
- Practice address
- 18680 SW 376TH St # 101
Florida City, FL 33034-6304 - Phone
- (786) 349-6020
- NPI assigned
- Jun 30, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9707955 | FL | Primary |
Addresses
Primary practice location
18680 SW 376TH St # 101
Florida City, FL 33034-6304
Mailing address
1539 SE 27TH St Unit 101
101
Homestead, FL 33035-2503
Phone (786) 650-8108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1417874793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 SE 27TH ST UNIT 101",
"address_2": "101",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330352503",
"telephone_number": "786-650-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18680 SW 376TH ST # 101",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "330346304",
"telephone_number": "786-349-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "BRENTON",
"middle_name": "BRENDON",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-30",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9707955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florida City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.