Individual provider Active NPI

Brendan Michael Prendergast, M.D.

  • Radiation Oncology Physician
  • Melbourne, FL
National Provider Identifier
1497928394
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME115355 Issued in FL
Practice address
8725 N Wickham Rd
Melbourne, FL 32940-2239
Phone
(321) 253-4673
Fax
(321) 253-4338
NPI assigned
Apr 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME115355 FL Primary

Addresses

Primary practice location

8725 N Wickham Rd
Melbourne, FL 32940-2239

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 253-4673

Other practice location 1

1130 Hickory St
Melbourne, FL 32901-1973
Phone (321) 409-1956

Other identifiers 3

IdentifierTypeStateIssuer
HI443YOtherFLHFMG MEDICARE
010168900MedicaidFL
P01593508OtherFLFL RR MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130716000074 FL Practitioner - Radiation Oncology 6204090954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Florida College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

8725 N Wickham Rd
Melbourne, FL 32940-2240

8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-5162

Hospital & facility affiliations

  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Sep 19, 2015 Accepting new patients
Health First Medical Group, LLC CurrentSince Sep 19, 2015 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1130 Hickory St
Ste A
Melbourne, FL 32901
Phone (321) 409-1956

1130 Hickory St
Melbourne, FL 32901
Phone (321) 409-1956

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

490 N Washington Ave
Titusville, FL 32796
Phone 32126842003506

8725 N Wickham Rd
Ste 103
Viera, FL 32940
Phone (321) 253-4673

8725 N Wickham Rd
Viera, FL 32940
Phone (321) 253-4673

Interoperability endpoints

  • Direct secure messaging: bprendergast22130@epicdirect.hf.org
  • Direct secure messaging: brendan.prendergast@health-first.direct.varian.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1497928394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-253-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402239",
            "telephone_number": "321-253-4673",
            "fax_number": "321-253-4338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011973",
            "country_code": "US",
            "telephone_number": "321-409-1956",
            "fax_number": "321-409-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "BRENDAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME115355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG MEDICARE",
            "identifier": "HI443Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010168900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RR MEDICARE",
            "identifier": "P01593508",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.