Individual provider Active NPI

Brennan Lirette, DPM

  • Foot & Ankle Surgery Podiatrist
  • Skokie, IL
National Provider Identifier
1972346260
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
135.001227 Issued in IL
Practice address
9669 Kenton Ave Ste 305
Skokie, IL 60076-1226
Phone
(847) 832-1513
Fax
(224) 251-3484
NPI assigned
Jun 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 135.001227 IL Primary

Addresses

Primary practice location

9669 Kenton Ave Ste 305
Skokie, IL 60076-1226

Mailing address

9669 Kenton Ave Ste 305
Skokie, IL 60076-1226
Phone (847) 832-1513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240919001450 IL Order and Referring Only - PodiatryPractitioner - Podiatry 3870034721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135.001227ILMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1972346260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 305",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761226",
            "telephone_number": "847-832-1513",
            "fax_number": "224-251-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 305",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761226",
            "telephone_number": "847-832-1513",
            "fax_number": "224-251-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRETTE",
        "first_name": "BRENNAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135.001227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.