Kelley Grayson Brenner
FAMILY PRACTICE ST CLOUD PA


Address: 3100 17th St, Saint Cloud, FL 34769-6021
Phone: 4078913500

Kelley Grayson Brenner (NPI# 1689843054, PAC ID# 5597818385) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1689843054
PAC ID by PECOS 5597818385
Professional Enrollment ID I20150320000657
Full Name Kelley Grayson Brenner
Organization Legal Name FAMILY PRACTICE ST CLOUD PA
Address 3100 17th St
Saint Cloud
FL 34769-6021
Phone Number 4078913500
Gender F
Graduation Year 2007
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 3274432521
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100302 ST CLOUD REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
3100 17th St, Saint Cloud, FL 34769-6021 4078913500 FAMILY PRACTICE ST CLOUD PA

Organization Information

Organization Legal Name FAMILY PRACTICE ST CLOUD PA
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Kimberly R Stein Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Bethany Mcqueen Nurse Practitioner Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Nikole Stephens Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Charles K Powers Jr. Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
David P Thorne Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Roshan K Patel Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
John Wilker Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Laura L Brooks Nurse Practitioner Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021

Office Location

Street Address 3100 17TH ST
City SAINT CLOUD
State FL
Zip 34769-6021

Physicians in the same location

Name Specialty Organization Address
Kimberly R Stein Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Bethany Mcqueen Nurse Practitioner Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Nikole Stephens Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Charles K Powers Jr. Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
David P Thorne Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Roshan K Patel Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
John Wilker Family Medicine Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021
Laura L Brooks Nurse Practitioner Family Practice St Cloud Pa 3100 17th St, Saint Cloud, FL 34769-6021

Physicians in the same zip code

Name Specialty Organization Address
Carmen Ana Sierra Family Medicine 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400
Dustin N Ly Internal Medicine 4737 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400
Naga Lakshmana Prasad Nidadavolu Neurology 4739 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400
Steven L Petty Chiropractic Joint Maneuvers Chiropractic Centre Pa 4797 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400
Brett E Petty Chiropractic Joint Maneuvers Chiropractic Centre Pa 4797 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400
Ramarao Makkena Psychiatry Oglethorpe of Orlando Inc 91 Beehive Cir, Saint Cloud, FL 34769-1432
Amit R Desai Psychiatry Oglethorpe of Orlando Inc 91 Beehive Cir, Saint Cloud, FL 34769-1432
Jose A Flores Guevara Ophthalmology St Cloud Eye Center Inc 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550
Ly T Nguyen Ophthalmology St Cloud Eye Center Inc 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550
Elba E Masid Family Medicine 4513 Old Canoe Creek Rd, Saint Cloud, FL 34769-1551
Find all physicians in zip 34769

Competitor

Search similar physicians

City SAINT CLOUD
Zip Code 34769
Specialty PHYSICIAN ASSISTANT
City + Specialty SAINT CLOUD + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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