Active NPI
Brent M Pendergast, DNP,CRNA
- Certified Registered Nurse Anesthetist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11030608
- Practice address
- 4725 N. Federal Hwy
Fort Lauderdale, FL 33308-4603 - Phone
- (954) 771-8000
- NPI assigned
- Dec 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11030608 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | D184978 | IA |
Addresses
Primary practice location
4725 N. Federal Hwy
Fort Lauderdale, FL 33308-4603
Mailing address
2006 Hogback Rd.
Suite 5a
Ann Arbor, MI 48105-9750
Phone (734) 263-2414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121156300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121
4725 N Fed Hwy
Ft. Lauderdale, FL 33308-4603
Phone (954) 771-8000
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 542-6000
4725 N Federal Hwy 201
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 565-5807
4725 N Federal Hwy 302
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 351-5931
4725 N Federal Hwy 401
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136
4725 N Federal Hwy 501
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4603
Phone (954) 351-7770
4725 N Federal Hwy 504
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 414-9750
4725 N Federal Hwy Cancer Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-7700
4725 N Federal Hwy HCMG Multispecialty
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-6770
4725 N Federal Hwy Neuro Radiology
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5780
4725 N Federal Hwy Nuclear Medicine
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5748
4725 N Federal Hwy Nuclear Medicine
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4668
Phone (954) 492-5748
4725 N Federal Hwy Pathology Departmen
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5728
Hospital & facility affiliations
- Holy Cross Hospital
- Mercyone Des Moines Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D184978 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital Inc | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| Holy Cross Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4725 N Federal Hwy
#G
Ft Lauderdale, FL 33308
Phone (954) 492-5748
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1194516146
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1487405718
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Des Moines, IA
- NPI 1023809076
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1619636883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 HOGBACK RD.",
"address_2": "SUITE 5A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059750",
"telephone_number": "734-263-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 N. FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084603",
"telephone_number": "954-771-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDERGAST",
"first_name": "BRENT",
"middle_name": "M",
"credential": "DNP,CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-14",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11030608",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D184978",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121156300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.