Provider Demographics
NPI:1356225262
Name:GONZALEZ, BRENDAN (DPT)
Entity type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4818 SCOTT RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-4891
Mailing Address - Country:US
Mailing Address - Phone:913-215-0525
Mailing Address - Fax:
Practice Address - Street 1:16228 SR 54
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-3729
Practice Address - Country:US
Practice Address - Phone:813-475-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist