Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Roth Brennan, PA-C

Individual provider Surgical Physician Assistant · NPI 1982009296

Kristin Roth Brennan, PA-C is a Physician Assistant in Tucson, Arizona. Qualified in 2023, 3 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
3
Licensed in
AZ, IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone: (520) 694-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10767 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085009950 (IL)

Record details

NPI number1982009296
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2014
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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