Healthcare Provider Details

I. General information

NPI: 1174219687
Provider Name (Legal Business Name): BRENDAN RICHARD SANTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 RODI RD STE 100
PITTSBURGH PA
15235-3318
US

IV. Provider business mailing address

2550 MOSSIDE BLVD STE 500
MONROEVILLE PA
15146-3514
US

V. Phone/Fax

Practice location:
  • Phone: 412-242-0777
  • Fax:
Mailing address:
  • Phone: 412-457-1050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS026055
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: