BRIAN BEHRENDT (P.A.) – Physician Assistant, NPI 1174757900

BRIAN BEHRENDT (P.A.) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. TC016 (KY). The NPI Number for BRIAN BEHRENDT (P.A.) is 1174757900

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN BEHRENDT (P.A.)
NPI
1174757900
Phone
(502) 315-1459
Address
100 E LIBERTY ST
Enumeration Date
7 May 2009
Last Update Date
10 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593869151
Graduation Year
2009 (17 years ago)
PAC ID
1355492158
Group Practice PAC ID
0648294157
Professional Enrollment ID
I20090707000303
Address ID
KY404031742BE305XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

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Provider Addresses for BRIAN BEHRENDT (P.A.)

  • Jewish Hospital Medical Plaza, 100, East Liberty Street, Louisville, Jefferson County, Kentucky, 40202, United States

    SUITE 800

    LOUISVILLE, KY 402021434

    Phone: (502) 315-1459

    Fax: (502) 479-1425

    Type: Mailing

  • London Mountain View Drive, London, Laurel County, Kentucky, 40755, United States

    LONDON, KY 407416601

    Phone: (606) 864-0770

    Fax: (606) 864-1461

    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: 2009-07-07

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
I20090707000303IPhysician AssistantKYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6837$0
99239Hospital discharge day management, more than 30 minutes6456$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6222$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4037$0
99316Nursing facility discharge management, more than 30 minutes3531$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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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: 0648294157View full group profile
NameSpecialtyState
Physician AssistantKY
Hospitalist, Internal MedicineNY
Nurse PractitionerKY
Internal MedicineWV
Nurse PractitionerGA
Hospitalist, Internal MedicineMI
Physician AssistantTN
Physician AssistantKY
Physician AssistantKY
Internal MedicineWV

Reviews

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Frequently asked questions

Is BRIAN BEHRENDT (P.A.) listed with a National Provider Identifier?
Yes — BRIAN BEHRENDT (P.A.) has NPI 1174757900 on file in the registry.
Is there an active status for BRIAN BEHRENDT (P.A.)?
For scheduling context, BRIAN BEHRENDT (P.A.) is shown as active in the registry.
What area of care is associated with BRIAN BEHRENDT (P.A.)?
BRIAN BEHRENDT (P.A.)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRIAN BEHRENDT (P.A.)?
Travel planning: use Louisville, Kentucky as the reference point for BRIAN BEHRENDT (P.A.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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