Individual provider Active NPI

Brendan Michael O'Donnell, D.O.

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1750611190
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS18219 Issued in FL
Practice address
1333 Taylor St Ste D
Columbia, SC 29201-2923
Phone
(803) 438-3800
NPI assigned
Jan 7, 2010
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 93954 SC
Obstetrics & Gynecology Physician 207V00000X 268557 NY
Obstetrics & Gynecology Physician 207V00000X OS18219 FL Primary

Addresses

Primary practice location

1333 Taylor St Ste D
Columbia, SC 29201-2923

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8823
Phone (941) 776-4000

Other practice location 1

24 Groton Ave
Cortland, NY 13045-2014
Phone (607) 753-3774

Other practice location 2

3501 Cortez Rd W Ste 1
Bradenton, FL 34210-3197
Phone (941) 909-7077

Other identifiers 2

IdentifierTypeStateIssuer
03722667MedicaidNY
113057100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, VA, FL, OK, ME, SD, NH, SC8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20150914001961 WI Practitioner - Obstetrics/Gynecology 4082849450 Reassigns benefits to 1 organization
I20210217001115 VA Practitioner - Obstetrics/Gynecology 4082849450 Reassigns benefits to 2 organizations
I20220106002865 FL Practitioner - Obstetrics/Gynecology 4082849450 Reassigns benefits to 2 organizations
I20231220000702 OK Practitioner - Obstetrics/Gynecology 4082849450 Reassigns benefits to 1 organization
I20240117000704 ME Practitioner - Obstetrics/Gynecology 4082849450 Reassigns benefits to 1 organization
I20240301000322 SD Practitioner - Obstetrics/Gynecology 4082849450 Reassigns benefits to 1 organization
I20240718004505 NH Practitioner - Obstetrics/Gynecology 4082849450 Reassigns benefits to 1 organization
I20250731004643 SC Practitioner - Obstetrics/Gynecology 4082849450 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS18219FLMDObstetrics & Gynecology Physician
93954SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Signify Health, LLC CurrentSince Dec 5, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Obstetrics & Gynecology CurrentSince Mar 28, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 28, 2021 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc Current Accepting new patients
Kraemer Womens Care, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2025 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Nov 28, 2023 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc CurrentSince Nov 28, 2023 Accepting new patients
Florida Hospital Physician Group Inc Obstetrics & Gynecology CurrentSince Feb 28, 2022 Accepting new patients
Northeastern Health System Past Accepting new patients
Family Health Network of Central New York, Inc. PastSince Feb 1, 2023 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc Past Accepting new patients

Locations

505 Oakfield Dr
Brandon, FL 33511
Phone (813) 676-2273

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

6 City Ctr
Portland, ME 04101

124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879

1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390

1500 E Downing St
Ste 208
Tahlequah, OK 74464
Phone (918) 456-2496

114 Gateway Corporate Blvd
Ste 120
Columbia, SC 29203
Phone (803) 438-3800

700 Gervais St
Ste 125
Columbia, SC 29201

1333 Taylor St
Ste 2D
Columbia, SC 29201
Phone (803) 254-1300

1333 Taylor St
Ste D
Columbia, SC 29201
Phone (803) 438-3800

3221 Sunset Blvd
Ste A
West Columbia, SC 29169
Phone (803) 798-7660

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

16000 Johnston Memorial Dr
Ste 200
Abingdon, VA 24211
Phone (276) 258-1000

100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Interoperability endpoints

  • Direct secure messaging: bodonnell13061@mvhealthsystem.direct-ci.com
  • Direct secure messaging: bodonnell859713@direct.ghs.myhfn.org
  • Direct secure messaging: bodonnell541963@direct.musc.edu
  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1750611190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058823",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 TAYLOR ST STE D",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012923",
            "telephone_number": "803-438-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Groton Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130452014",
            "country_code": "US",
            "telephone_number": "607-753-3774",
            "fax_number": "607-753-3947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Cortez Rd W Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103197",
            "country_code": "US",
            "telephone_number": "941-909-7077",
            "fax_number": "941-567-4295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "BRENDAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "93954",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "268557",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS18219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03722667",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113057100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "24 Groton Ave",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130452014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.