Provider Demographics
NPI:1730666272
Name:HODIS, BRENDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:
Last Name:HODIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2263 SW 37TH AVE APT 732
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3270
Mailing Address - Country:US
Mailing Address - Phone:347-882-0810
Mailing Address - Fax:
Practice Address - Street 1:2263 SW 37TH AVE APT 732
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3270
Practice Address - Country:US
Practice Address - Phone:347-882-0810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-27
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRL15189208600000X
AZ693632084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208600000XAllopathic & Osteopathic PhysiciansSurgery