Active NPI
Kathryn Brennick, DO
- Hospitalist Physician
- Titusville, FL
National Provider Identifier
1518361047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS15379
- Practice address
- 951 N Washington Ave
Hospitalist Dept.
Titusville, FL 32796 - Phone
- (321) 268-6355
- Fax
- (321) 268-6273
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T-3269 | MS | |
| Hospitalist Physician | 208M00000X | OS15379 | FL | Primary |
Addresses
Primary practice location
951 N Washington Ave
Hospitalist Dept.
Titusville, FL 32796
Mailing address
951 N Washington Ave.
Hosptialist Dept
Titusville, FL 32796
Phone (321) 268-6355
Other practice location 1
401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 687-8651
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-3269 | MS | MD | Internal Medicine Physician |
| OS15379 | FL | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1518361047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 N WASHINGTON AVE.",
"address_2": "HOSPTIALIST DEPT",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "32796",
"telephone_number": "321-268-6355",
"fax_number": "321-268-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 N WASHINGTON AVE",
"address_2": "HOSPITALIST DEPT.",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "32796",
"telephone_number": "321-268-6355",
"fax_number": "321-268-6273"
}
],
"practiceLocations": [
{
"address_1": "401 N Ewing St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "OH",
"postal_code": "431303372",
"country_code": "US",
"telephone_number": "740-687-8651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENNICK",
"first_name": "KATHRYN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "T-3269",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS15379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Titusville, FL
- Lauren Kelle Bratsch, APRN, AGACNP-BC, FNP
- Zsa Zsa Bratt
- Brechbill Bcba Inc
- Emily Brechbill
- Danielle Breckenridge, PTA
- Brevard Alzheimer's Foundation Inc. (Joe's Club)
- Brevard Eye Center
- Brevard Family Pharmacy Inc (Brevard Family Pharmacy)
- Brevard Health Alliance
- Brevard Health Alliance Inc (Titusville Dental Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.