Stephen R Brennan, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1333 Issued in ME

Practice address

109 Woodbridge Rd
York, ME 03909-1450

Phone

(207) 363-5437

Fax

(207) 351-1722

NPI assigned

Jul 31, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10971/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephen R. Brennan, D.O., P.a.

  • Pediatrics Physician
  • York, ME
  • NPI 1609033422
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043226236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WOODBRIDGE ROAD",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "207-363-5437",
            "fax_number": "207-351-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WOODBRIDGE RD",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091450",
            "telephone_number": "207-363-5437",
            "fax_number": "207-351-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "1333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA NATIONAL",
            "identifier": "9022900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HC",
            "identifier": "ME0081",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS MAINE",
            "identifier": "00007M",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M52711C",
            "identifier": "CIGNA",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BX NH",
            "identifier": "E39853",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30220763",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BX MAINE",
            "identifier": "027530",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MATTHEW THORNTON BLUE NH",
            "identifier": "040854YPME 01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HC NH",
            "identifier": "121460C",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2375017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey M Bouchard, RDN
• Hailey Elizabeth Boulia-Madden
• Trevor M Braden, MD
• Elizabeth R Brand, NP
• Lauren Breau, LAC, MACOM
• Kathryn Broderick
• Kathryn Brokus, D.O.
• Abigail Lyn Brown, APRN
• Karen Allana Brown, LICSW
• Sarah Lupo Brown

• Pediatrics Physician in York, ME
• Providers in York, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.