Active NPI
Caroline Brennick, D.O.
- Physical Medicine & Rehabilitation Physician
- Fort Myers, FL
National Provider Identifier
1710341268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS17684
- Practice address
- 8960 Colonial Center Dr Ste 210
Fort Myers, FL 33905-7803 - Phone
- (239) 343-9430
- Fax
- (239) 343-9495
- NPI assigned
- Apr 11, 2016
- Last updated
- Jan 10, 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS17684 | FL | Primary |
Addresses
Primary practice location
8960 Colonial Center Dr Ste 210
Fort Myers, FL 33905-7803
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9430
Other practice location 1
1924K Dauphin Island Pkwy
Mobile, AL 36605-3004
Phone (251) 308-9800
Other practice location 2
1851 Saint Mary Ave
Pensacola, FL 32501-1053
Phone (850) 226-6801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110894000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8960 Colonial Ctr Dr
Suite 210
Fort Myers, FL 33905-7803
Phone (239) 424-3492
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
8960 Colonial Center Dr
Ste 210
Fort Myers, FL 33905
Phone (239) 343-9430
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- cbrennick428665@direct.leememorial.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1710341268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-9430",
"fax_number": "239-343-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8960 COLONIAL CENTER DR STE 210",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057803",
"telephone_number": "239-343-9430",
"fax_number": "239-343-9495"
}
],
"practiceLocations": [
{
"address_1": "1924K Dauphin Island Pkwy",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366053004",
"country_code": "US",
"telephone_number": "251-308-9800",
"fax_number": "877-413-5104",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1851 Saint Mary Ave",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325011053",
"country_code": "US",
"telephone_number": "850-226-6801",
"fax_number": "877-413-5104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENNICK",
"first_name": "CAROLINE",
"name_prefix": "Miss",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "OS17684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110894000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.