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JOSEPH HERMAN BRENNAN MD
NPI 1235077868
Student in an Organized Health Care Education/Training Program in Fort Walton Beach, FL

Active since March 24, 2026PECOS Enrolled
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 218-6380 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Herman Brennan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH HERMAN BRENNAN MD (NPI 1235077868) is an individual student in an organized health care education/training program in Fort Walton Beach, Florida and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235077868
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH HERMAN BRENNANCredential: MD
Location Address1000 MAR WALT DRFort Walton Beach, FL 32547-6708
Mailing Address1000 Mar Walt DrFort Walton Beach, FL 32547-6708 · (850) 218-6380
Phone(850) 218-6380
Sole ProprietorYes
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1235077868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 MAR WALT DR, Fort Walton Beach, FL 32547
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Herman Brennan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA RUTH ANDERSON
Dietitian, Registered
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
DR. JESSICA AMANDA RAMBHAROSE MD
Student in an Organized Health Care Education/Training Program
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 969-4500
MRS. ANDREA M PERSON PA
Physician Assistant
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
ANESTHESIA PHYSICIAN SOLUTIONS OF NORTH FLORIDA, LLC
Anesthesiology
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (954) 939-5000
BRITTANY NICOLE GRIMES FNP-C
Nurse Practitioner
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100
DR. MICHAEL C WILLIAMS MD
Emergency Medicine
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-7607
DEVON N JERNIGAN PT, DPT
Physical Therapist
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
FORT WALTON BEACH MEDICAL CENTER, INC.
Rehabilitation Unit
1000 MAR WALT DR
FT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Brennan's NPI number?

The NPI number for Joseph Brennan is 1235077868. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Joseph Brennan located?

Joseph Brennan practices at 1000 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 218-6380.

What is Joseph Brennan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joseph Brennan enrolled in Medicare?

Yes. Joseph Brennan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Brennan was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.