Individual
DR. BRET BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13801 BRUCE B DOWNS BLVD STE 205, TAMPA, FL 33613-3937
(813) 971-4678
Mailing address
13801 BRUCE B DOWNS BLVD STE 205, TAMPA, FL 33613-3937
(813) 971-4678
(813) 482-0036
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO3868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020597200
—
FL
01
—
1851705529
NPI INDIVIDUAL
FL
01
—
3650Z
BCBS INDIVIDUAL
FL
01
—
M2469
MEDICARE GROUP PTAN
FL
01
—
M2475
MEDICARE GROUP PTAN
FL
01
—
M2503
MEDICARE PTAN
FL
01
—
M2504
MEDICARE PTAN
FL
01
—
PO3868
LICENSE NUMBER
FL
Enumeration date
06/20/2014
Last updated
03/07/2023
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