Andre Dorald Brennan Jr., SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

1400 NW 12TH Ave
Miami, FL 33136-1003

Phone

(305) 689-5601

NPI assigned

Aug 24, 2017

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Florida Practitioners, LLC

  • Surgical Physician Assistant
  • Pembroke Pines, FL
  • NPI 1528456548
  NPD (past)
• Ap of Nashville, LLC

  • Surgical Physician Assistant
  • Nashville, TN
  • NPI 1174990899
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1932626603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "ANDRE",
        "middle_name": "DORALD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Breisblatt
• Brenda Stern RPT, Inc.
• Nikole G Brendecke, MOT, OTR/L
• Nelsy Brene Hernandez
• Francisco Brenes, ARNP
• Maeve Brennan
• Patrick Brennan, D.O.
• Dana Brenner, SLP
• Kelsey Brenner, DC
• Natalie Erin Brescian, PH.D.

• Surgical Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.