Active NPI
Brennan Kay Reardon, DPM
- Podiatrist
- Simpsonville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 788
- Practice address
- 801 SE Main St
Simpsonville, SC 29681-7150 - Phone
- (864) 399-9070
- NPI assigned
- Mar 26, 2021
- Last updated
- Sep 17, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 788 | SC | Primary |
Addresses
Primary practice location
801 SE Main St
Simpsonville, SC 29681-7150
Mailing address
801 SE Main St
Simpsonville, SC 29681-7150
Phone (864) 399-9070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 W Main St
Laurens, SC 29360-2608
Phone (864) 399-9077
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 68 |
| Removal or shaving of skin growth | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 788 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Upstate Podiatry Group, PA | Podiatrist | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Upstate Podiatry Group, PA | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients |
Locations
3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010
701 E El Camino Real
Mountain View, CA 94040
Phone (650) 404-8370
701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110
301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455
2506 Samaritan Ct
San Jose, CA 95124
Phone (408) 523-3870
2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
1010 W Main St
Laurens, SC 29360
Phone (864) 399-9070
801 SE Main St
Simpsonville, SC 29681
Phone (864) 399-9070
Interoperability endpoints
- breardon688297@hisp.ehr.sutterhealth.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Simpsonville, SC
- NPI 1144660036
-
dba Sutter Samaritan Surgery Center
- Ambulatory Surgical Clinic/Center
- San Jose, CA
- NPI 1033817168
-
dba Palo Alto Medical Foundation
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
- NPI 1104067115
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1497996524
-
- Ambulatory Surgical Clinic/Center
- Los Altos, CA
- NPI 1568851327
-
- Ambulatory Surgical Clinic/Center
- Mountain View, CA
- NPI 1982845186
-
- Foot & Ankle Surgery Podiatrist
- Spartanburg, SC
- NPI 1396487336
-
- Ambulatory Surgical Clinic/Center
- San Jose, CA
- NPI 1043654486
-
- Ambulatory Surgical Clinic/Center
- San Carlos, CA
- NPI 1164840088
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1306241534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1699352468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 SE MAIN ST",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296817150",
"telephone_number": "864-399-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 SE MAIN ST",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296817150",
"telephone_number": "864-399-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REARDON",
"first_name": "BRENNAN",
"middle_name": "KAY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SC",
"license": "788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.