MEDICARE: DR. JEFFREY JOSEPH BRIMMER D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PR375	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295153450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY JOSEPH BRIMMER D.P.M.

Provider Business Mailing Address
First Line	:	4101 CHARLOTTE AVE STE F185
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 PONTE VEDRA PARK DR STE 150
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32082-6612
Country	:	US
Telephone Number	:	904-849-6806
Fax Number	:	833-454-1889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	06/05/2026

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Directions to “ DR. JEFFREY JOSEPH BRIMMER D.P.M.” Practice Location

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