MEDICARE: DR. BRENDAN MICHAEL O'DONNELL D.O.

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	207V00000X	Obstetrics & Gynecology Physician	93954	SC
2	207V00000X	Obstetrics & Gynecology Physician	268557	NY
3	207V00000X	Obstetrics & Gynecology Physician	OS18219	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750611190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDAN MICHAEL O'DONNELL D.O.

Provider Business Mailing Address
First Line	:	101 RIVERFRONT BLVD STE 710
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-8823
Country	:	US
Telephone Number	:	941-776-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 TAYLOR ST STE D
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2923
Country	:	US
Telephone Number	:	803-438-3800
Fax Number	:

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

Provider Enumeration Date	:	01/07/2010
Last Update Date	:	03/09/2026

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Directions to “ DR. BRENDAN MICHAEL O'DONNELL D.O.” Practice Location

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