BRENT C SULLIVAN (MD) – Urology Physician, NPI 1710098173

BRENT C SULLIVAN (MD) is a healthcare provider. based in Zephyrhills, Florida. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. ME69655 (FL). The NPI Number for BRENT C SULLIVAN (MD) is 1710098173

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
BRENT C SULLIVAN (MD)
NPI
1710098173
Phone
(813) 528-4975
Address
38135 MARKET SQUARE
Enumeration Date
31 August 2006
Last Update Date
27 August 2021

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
3577451061
Group Practice PAC ID
0648631192
Professional Enrollment ID
I20040308000053
Address ID
FL335427505ZE38135DRXX400

Contacts

Secure Messaging
urotpa@flmed.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

897 UROLOGY in FL

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Provider Addresses for BRENT C SULLIVAN (MD)

  • 38135, Market Square, Zephyrhills, Pasco County, Florida, 33542, United States

    ZEPHYRHILLS, FL 33542

    Phone: (813) 528-4975

    Type: Mailing

  • Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33647, United States

    SUITE D

    TAMPA, FL 33613

    Phone: (813) 979-7733

    Fax: (813) 355-5098

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Becton, Dickinson and Company ($81).

Total Amount

$217

General + Research + Ownership

Payments

12

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040308000053IUrologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes484332$0
52000Diagnostic exam of bladder and urethra using an endoscope135119$0
81002Urinalysis, manual test5549$0
55700Biopsy of prostate gland4141$0
76872Ultrasound scan of pelvic region through rectum4040$0
View full utilization report →

Insurance plans in this area (ZIP 33542)

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Provider's Procedures

BRENT C SULLIVAN (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYFL81002Urinalysis, manual test927628

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648631192View full group profile
NameSpecialtyState
Nurse PractitionerFL
Diagnostic RadiologyFL
Gastroenterology, Internal MedicineIA
Vascular Surgery, General SurgeryFL
Family PracticeKY
Nurse PractitionerFL
R H E U M A T O L O G YFL
Physician AssistantFL
Physician AssistantFL
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

What NPI should I save for BRENT C SULLIVAN (MD)?
Save NPI 1710098173 if you need a stable reference for BRENT C SULLIVAN (MD).
Is BRENT C SULLIVAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BRENT C SULLIVAN (MD)'s specialty in plain language?
Clinically, the directory lists BRENT C SULLIVAN (MD) with Urology Physician. Clinical services aligned with this taxonomy classification.
What location shows for BRENT C SULLIVAN (MD)?
We surface Zephyrhills, Florida for BRENT C SULLIVAN (MD) based on available NPPES addresses.
What if Zephyrhills, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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