Individual provider Active NPI

Bret Brennan, DPM

  • Foot Surgery Podiatrist
  • Tampa, FL
National Provider Identifier
1851705529
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO3868 Issued in FL
Practice address
13801 Bruce B Downs Blvd Ste 205
Tampa, FL 33613-3937
Phone
(813) 971-4678
NPI assigned
Jun 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X PO3868 FL Primary

Addresses

Primary practice location

13801 Bruce B Downs Blvd Ste 205
Tampa, FL 33613-3937

Mailing address

13801 Bruce B Downs Blvd Ste 205
Tampa, FL 33613-3937
Phone (813) 971-4678

Other practice location 1

13000 Bruce B Downs Blvd
Podiatry
Tampa, FL 33612-4745
Phone (215) 206-4286

Other identifiers 8

IdentifierTypeStateIssuer
020597200MedicaidFL
M2503OtherFLMEDICARE PTAN
PO3868OtherFLLICENSE NUMBER
1851705529OtherFLNPI INDIVIDUAL
M2469OtherFLMEDICARE GROUP PTAN
3650ZOtherFLBCBS INDIVIDUAL
M2504OtherFLMEDICARE PTAN
M2475OtherFLMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170530001283 FL Practitioner - Podiatry 1052688785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Podiatry PAGroup PAC ID 2668497058, 7 clinicians

Practice addresses (Care Compare)

17222 Hospital Blvd
Suite 218
Brooksville, FL 34601-8925
Phone (352) 786-7800

2919 W Swann Ave
Suite 203
Tampa, FL 33609-4050
Phone (813) 875-0555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions65
Removal of nail tissue620
Removal or shaving of skin growth573
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Podiatry, PA Single Specialty CurrentSince Oct 4, 2020 Accepting new patients

Locations

17222 Hospital Blvd
Ste 218
Brooksville, FL 34601
Phone (352) 796-7800

13801 Bruce B Downs Blvd
Ste 205
Tampa, FL 33613
Phone (813) 971-4678

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.

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": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851705529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133937",
            "telephone_number": "813-971-4678",
            "fax_number": "813-482-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133937",
            "telephone_number": "813-971-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 Bruce B Downs Blvd",
            "address_2": "Podiatry",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336124745",
            "country_code": "US",
            "telephone_number": "215-206-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "BRET",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020597200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M2503",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PO3868",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1851705529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "M2469",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "3650Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "M2504",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "M2475",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.