MEDICARE: DR. ROBERT F BRENNAN MD

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	207X00000X	Orthopaedic Surgery Physician	ME97563	FL
2	207XS0106X	Orthopaedic Hand Surgery Physician	ME97563	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	P02782641	OTHER	FL	ORTHOPAEDIC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689662025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT F BRENNAN MD

Provider Business Mailing Address
First Line	:	1344 S APOLLO BLVD STE 406
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-3185
Country	:	US
Telephone Number	:	321-727-2990
Fax Number	:	321-724-0455

Provider Business Practice Location Address
First Line	:	1344 S APOLLO BLVD STE 2D
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-3183
Country	:	US
Telephone Number	:	321-724-1084
Fax Number	:	321-724-0147

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	09/24/2025

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