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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1164868873

Brent Michael Pennelly, MD is a Physical Medicine and Rehabilitation in Arroyo Grande, California. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
CA
In the registry since
2013
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

345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone: (805) 489-4261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence A153934 (CA)

Record details

NPI number1164868873
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2013
Last updated in NPPESMay 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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