Active NPI
Beverly A. Brennan, M.D.
- Internal Medicine Physician
- Haverhill, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 206547
- Practice address
- 600 Primrose St
Haverhill, MA 01830 - Phone
- (978) 469-7100
- Fax
- (978) 469-7199
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 206547 | MA | Primary |
Addresses
Primary practice location
600 Primrose St
Haverhill, MA 01830
Mailing address
600 Primrose St
Haverhill, MA 01830-2659
Phone (978) 469-7100
Other practice location 1
1 Parkway
Haverhill, MA 01830-6278
Phone (978) 521-3250
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174519730 | Other | MA | AETNA HMO |
| 0029557 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 1174519730 | Other | MA | FALLON COMMUNITY HEALTH PLAN |
| P00258103 | Other | RAILROAD MEDICARE | |
| 04-09138 | Other | EVERCARE | |
| G43721 | Other | NH | ANTHEM BLUE CROSS |
| 690835 | Other | MA | HARVARD PILGRIM HEALTH PL |
| 5731408 | Other | MA | AETNA NON HMO |
| 683113 | Other | HEALTHSOURCE | |
| J29478 | Other | MA | BLUE CROSS BLUE SHIELD |
| 206547 | Other | TUFTS HEALTH PLAN | |
| 30205508 | Other | NV | NEW HAMPSHIRE MEDICAID |
| 967080 | Other | NETWORK HEALTH | |
| 110041739A | Medicaid | MA | |
| 7241783 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical School at San Antonio, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
1 Park Way
Haverhill, MA 01830-6278
Phone (978) 521-3210
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Pathways Healthcare
- Anna Jaques Hospital
- North Shore Medical Center -
- Merrimack Health Lawrence Hospital
- Holy Family Hospital
- Lahey Hospital & Medical Center, Burlington
- Northeast Rehabilitation Hospital
- Whittier Rehabilitation Hospital - Bradford
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Internal Medicine | Current | Accepting new patients |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
Locations
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
66 E Main St
Georgetown, MA 01833
Phone (978) 352-7780
600 Primrose St
Haverhill, MA 01830
Phone (978) 373-4400
1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210
500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
Interoperability endpoints
- brennan.beverly.pma@direct.partners.masshiway.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1891112637
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
Internal Medicine
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- Home Health Agency
- Westwood, MA
- NPI 1740529668
-
- Rehabilitation Hospital
- Salem, NH
- NPI 1255354288
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559347200000",
"number": "1174519730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PRIMROSE ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018302659",
"telephone_number": "978-469-7100",
"fax_number": "978-469-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PRIMROSE ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "01830",
"telephone_number": "978-469-7100",
"fax_number": "978-469-7199"
}
],
"practiceLocations": [
{
"address_1": "1 Parkway",
"address_purpose": "LOCATION",
"city": "Haverhill",
"state": "MA",
"postal_code": "018306278",
"country_code": "US",
"telephone_number": "978-521-3250",
"fax_number": "978-469-5646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENNAN",
"first_name": "BEVERLY",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2019-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "206547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1174519730",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0029557",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH PLAN",
"identifier": "1174519730",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00258103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "04-09138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "G43721",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH PL",
"identifier": "690835",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "5731408",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "683113",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J29478",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "206547",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE MEDICAID",
"identifier": "30205508",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "967080",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110041739A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7241783",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.