BRENT C SULLIVAN MD NPI 1710098173

NPI Information

  • NPI: 1710098173
  • Provider Name: BRENT C SULLIVAN, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14547 BRUCE B DOWNS BLVD
    SUITE D
    TAMPA, FL
    ZIP 33613
  • Phone: (813) 979-7733

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NPI Details

Brent C Sullivan, MD is an urology in Tampa, FL with 37 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Brent C Sullivan, MD NPI is 1710098173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:1989

The provider's business location address is:

14547 BRUCE B DOWNS BLVD
SUITE D
TAMPA, FL
ZIP 33613
Phone: (813) 979-7733
Fax: (813) 355-5098

The NPI 1710098173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Urinalysis, manual test (HCPCS:81002)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triptorelin pamoate, 3.75 mg (HCPCS:J3315)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Biopsy of prostate gland (HCPCS:55700)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyME69655FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00085921OTHERFLORIDARR MEDICARE
2269015200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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