DR. KIRK BRADLEY DRENNAN (O.D.) – Optometrist, NPI 1104984343

DR. KIRK BRADLEY DRENNAN (O.D.) is a healthcare provider. based in Draper, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5147696-9934 (UT). The NPI Number for DR. KIRK BRADLEY DRENNAN (O.D.) is 1104984343

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIRK BRADLEY DRENNAN (O.D.)
NPI
1104984343
Phone
(801) 568-0200
Address
11820 S STATE ST STE 200
Enumeration Date
4 December 2006
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8015680200
Graduation Year
2002 (24 years ago)
PAC ID
7810096831
Group Practice PAC ID
7618874231
Professional Enrollment ID
I20070615000319
Address ID
UT840207160DR11820STXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

Provider Addresses for DR. KIRK BRADLEY DRENNAN (O.D.)

  • 11820 S STATE ST STE 200

    DRAPER, UT 840207160

    Phone: (801) 568-0200

    Fax: (801) 563-0200

    Type: Mailing

  • Winchester Street, Murray, Salt Lake County, Utah, 84127, United States

    MURRAY, UT 841077305

    Phone: (801) 263-9125

    Fax: (801) 269-1339

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($62).

Total Amount

$140

General + Research + Ownership

Payments

8

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2007-06-15

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
I20070615000319IOptometryUTTBD

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
92014Established patient complete exam of visual system2626$0
View full utilization report →

Insurance plans in this area (ZIP 84020)

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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: 7618874231View full group profile
NameSpecialtyState
O P T O M E T R YUT
O P T O M E T R YUT
O P H T H A L M O L O G YUT
O P T O M E T R YUT
O P T O M E T R YUT
-UT
O P T O M E T R YNV
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YCA
-UT

Reviews

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Frequently asked questions

Can I verify DR. KIRK BRADLEY DRENNAN (O.D.) with an NPI only?
You can start verification with NPI 1104984343 for DR. KIRK BRADLEY DRENNAN (O.D.), then check state licensing separately.
Is DR. KIRK BRADLEY DRENNAN (O.D.) still practicing?
DR. KIRK BRADLEY DRENNAN (O.D.) is currently listed as active in the public NPI registry.
What is DR. KIRK BRADLEY DRENNAN (O.D.) best known for clinically?
Directory data describes DR. KIRK BRADLEY DRENNAN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. KIRK BRADLEY DRENNAN (O.D.) based?
DR. KIRK BRADLEY DRENNAN (O.D.) is tied to Draper, Utah in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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