NPIMap

Individual provider Active NPI

Kristopher L Brenner, D.O.

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1760446264
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
87751 Issued in SC
Practice address
25 Creekview CT
Greenville, SC 29615-4800
Phone
(864) 522-6300
Fax
(864) 522-6305
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS19141 FL
Family Medicine Physician 207Q00000X 87751 SC Primary

Addresses

Primary practice location

25 Creekview CT
Greenville, SC 29615-4800

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8603

Other practice location 1

901 22nd Ave S
St Petersburg, FL 33705-2933
Phone (727) 310-0925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230321000015 FL Practitioner - Family Practice 7618862632 Reassigns benefits to 1 organization
I20240319002378 SC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7618862632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

25 Creekview CT
Greenville, SC 29615-4800
Phone (864) 297-7900

Hospital & facility affiliations

  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87751SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Mar 1, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Jan 5, 2026 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Mar 1, 2023 Accepting new patients
Metropolitan Enterprises Inc. Family Medicine CurrentSince Jan 5, 2009 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 5, 2026 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

901 22nd Ave S
St Petersburg, FL 33705
Phone (727) 310-0925

4200 Division Ave N
Comstock Park, MI 49321
Phone (616) 252-1600

2215 44th St SW
Ste 100
Wyoming, MI 49519
Phone (616) 252-8300

108 Highway 28 Byp
Anderson, SC 29624
Phone (864) 296-5208

2001 E Greenville St
Anderson, SC 29621
Phone (864) 332-3098

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Ste 300
Greenville, SC 29601

25 Creekview Ct
Greenville, SC 29615
Phone (864) 297-7900

805 W Wade Hampton Blvd
Ste C
Greer, SC 29650
Phone (864) 655-6615

Organizations & group practices 9

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 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1760446264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CREEKVIEW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-522-6300",
            "fax_number": "864-522-6305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 22nd Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337052933",
            "country_code": "US",
            "telephone_number": "727-310-0925",
            "fax_number": "727-498-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "KRISTOPHER",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19141",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "87751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.