NPIMap

Organization Active NPI

F Elaine Brennan MD

  • Ophthalmology Physician
  • Pensacola, FL
National Provider Identifier
1104976968
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16798 Issued in FL
Legal business name
F ELAINE BRENNAN MD
Practice address
1717 North E St
Suite 206
Pensacola, FL 32501-6339
Phone
(850) 438-2015
Fax
(850) 438-4998
NPI assigned
Jan 11, 2007
Reactivated
Jan 6, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Frances Elaine Brennan, MDNPI 1669527974
Title
Owner
Phone
(850) 438-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16798 FL Primary

Addresses

Primary practice location

1717 North E St
Suite 206
Pensacola, FL 32501-6339

Mailing address

1717 North E St
Suite 206
Pensacola, FL 32501-6339
Phone (850) 438-2015

Other identifiers 2

IdentifierTypeStateIssuer
055889300MedicaidFL
17328OtherFLBCBS

Other names 1

  • Dr F Elaine Brennan Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1104976968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NORTH E ST",
            "address_2": "SUITE 206",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-438-2015",
            "fax_number": "850-438-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NORTH E ST",
            "address_2": "SUITE 206",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-438-2015",
            "fax_number": "850-438-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F ELAINE BRENNAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-01-20",
        "deactivation_date": "2007-02-13",
        "reactivation_date": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-438-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "16798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055889300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17328",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr F Elaine Brennan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.