BRIELLE PENROSE
NPI 1508581463
Military Health Care Provider - Independent Duty Medical Technicians in Clearwater, FL

Active since October 04, 2022
15100 RESCUE WAY, CLEARWATER, FL 33762(727) 535-1437(727) 535-4190 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brielle Penrose NPPES

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

BRIELLE PENROSE (NPI 1508581463) is an individual independent duty medical technicians provider in Clearwater, Florida and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1508581463
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameBRIELLE PENROSE
Location Address15100 RESCUE WAYClearwater, FL 33762-3502
Mailing Address15100 Rescue WayClearwater, FL 33762-3502
Fax(727) 535-4190
Sole ProprietorNo
Enumeration DateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
NPI 1508581463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
15100 RESCUE WAY, Clearwater, FL 33762

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.

Dental Hygienist
15100 RESCUE WAY, DENTAL
CLEARWATER, FL 33762
Military Health Care Provider (Independent Duty Corpsman)
15100 RESCUE WAY
CLEARWATER, FL 33762
Military Health Care Provider
15100 RESCUE WAY
CLEARWATER, FL 33762
Health Maintenance Organization
15100 RESCUE WAY
CLEARWATER, FL 33762
Military Health Care Provider
15100 RESCUE WAY, USCG AIR STATION CLEARWATER CLINIC
CLEARWATER, FL 33762
Specialist
15100 RESCUE WAY
CLEARWATER, FL 33762
Internal Medicine
15100 RESCUE WAY
CLEARWATER, FL 33762
Pharmacist
15100 RESCUE WAY
CLEARWATER, FL 33762

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 Brielle Penrose's NPI number?

The NPI number for Brielle Penrose is 1508581463. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Brielle Penrose located?

Brielle Penrose practices at 15100 Rescue Way, Clearwater, FL 33762. The listed phone number is (727) 535-1437.

What is Brielle Penrose's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Brielle Penrose was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.