Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brent C Sullivan, MD

Individual provider Urology Physician · NPI 1710098173

Brent C Sullivan, MD is an Urology in Tampa, Florida. Graduated from Rutgers New Jersey Medical School in 1989, 37 years ago. Practices with Ohi West Medical Group II LLC, a 409-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
37
Trained at
Rutgers New Jersey Medical School
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14547 Bruce B Downs Blvd Ste D
Tampa, FL 33613
Phone: (813) 979-7733
Fax: (813) 355-5098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME69655 (FL)

Record details

NPI number1710098173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address38135 Market Square, Zephyrhills, FL 33542

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1989 (37 years in practice)
Group practice Ohi West Medical Group Ii Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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