Individual
DR. TODD J BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13801 BRUCE B DOWNS BLVD, SUITE 205, TAMPA, FL 33613-3946
(813) 971-4678
(813) 978-8564
Mailing address
13801 BRUCE B DOWNS BLVD, SUITE205, TAMPA, FL 33613-3946
(813) 971-4678
(813) 482-0036
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3584
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008391200
—
FL
01
—
DD7044
RAILROAD MEDICARE GROUP NUMBER
FL
01
—
M2469
MEDICARE GROUP PTAN
FL
01
—
M2475
MEDICARE GROUP PTAN
FL
01
—
M2485
MEDICARE PTAN
FL
01
—
M2487
MEDICARE PTAN
FL
01
—
PO3584
MEDICAL LICENSE
FL
Enumeration date
07/01/2010
Last updated
02/25/2021
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