MEDICARE: MR. BRENDAN WILLIAM KIRKWOOD MSN, CRNP, FNP-C, RN

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	363L00000X	Nurse Practitioner	SP036290	PA

General Provider Information

NPI Number	:	1649096991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRENDAN WILLIAM KIRKWOOD MSN, CRNP, FNP-C, RN

Provider Business Mailing Address
First Line	:	815 FREEPORT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 FREEPORT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3301
Country	:	US
Telephone Number	:	412-784-4000
Fax Number	:

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

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	06/24/2026

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