Individual provider Active NPI

Brendon Hart, D.O

  • Anesthesiology Physician
  • St Petersburg, FL
National Provider Identifier
1679960421
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS18413 Issued in FL
Practice address
6000 49TH St N
St Petersburg, FL 33709-2114
Phone
(727) 521-4411
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS18413 FL Primary

Addresses

Primary practice location

6000 49TH St N
St Petersburg, FL 33709-2114

Mailing address

3031 N Rocky Point Dr W Ste 400
Tampa, FL 33607-5879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220810002575 FL Practitioner - Anesthesiology 5799072070 Reassigns benefits to 1 organization
I20260420002961 TX Practitioner - Anesthesiology 5799072070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McOn Anesthesia PLLCGroup PAC ID 3173008059, 53 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

3625 N Hall St
Suite 800
Dallas, TX 75219-5106
Phone (800) 411-7515

6000 49TH St N
St Petersburg, FL 33709-2114
Phone (727) 521-4411

Hospital & facility affiliations

  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS18413FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince May 6, 2022 Accepting new patients

Locations

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

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 1

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1679960421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 N ROCKY POINT DR W STE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092114",
            "telephone_number": "727-521-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "BRENDON",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS18413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.