Healthcare Provider Details

I. General information

NPI: 1689662025
Provider Name (Legal Business Name): ROBERT F BRENNAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 S APOLLO BLVD STE 2D
MELBOURNE FL
32901-3183
US

IV. Provider business mailing address

1344 S APOLLO BLVD STE 406
MELBOURNE FL
32901-3185
US

V. Phone/Fax

Practice location:
  • Phone: 321-724-1084
  • Fax: 321-724-0147
Mailing address:
  • Phone: 321-727-2990
  • Fax: 321-724-0455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME97563
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME97563
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: