BRENDAN LAWRENCE MAHONEY (MD) – Student in an Organized Health Care Education/Training Program, NPI 1538796081
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,232 EMERGENCY MEDICINE in FL
Provider Addresses for BRENDAN LAWRENCE MAHONEY (MD)
13001 Southern Blvd
Loxahatchee, FL 334709203
Phone: (561) 798-3300
Type: Location
1700 S 23rd St
Fort Pierce, FL 349504803
Phone: (772) 461-4000
Type: Location
28 KANIS CREEK PL
LITTLE ROCK, AR 722234919
Phone: (479) 685-8180
Type: Mailing
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 349527521
Phone: (772) 335-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240524000230 | I | Emergency Medicine | KS | TBD |
| I20250128002107 | I | Emergency Medicine | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33470)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | KS | |
| Emergency Medicine | NY | |
| Emergency Medicine | IL | |
| Nurse Practitioner | KS | |
| Emergency Medicine | NC | |
| Emergency Medicine | MO | |
| Emergency Medicine | MO | |
| Emergency Medicine | KS | |
| Emergency Medicine | IA | |
| Emergency Medicine | KS |
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