Organization Active NPI

Herbert J Brennan DO LTD

  • Internal Medicine Physician
  • East Greenwich, RI
National Provider Identifier
1184896722
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO00445 Issued in RI
Legal business name
HERBERT J BRENNAN DO LTD
Practice address
2358 S County TRL
East Greenwich, RI 02818-1500
Phone
(401) 886-6000
Fax
(401) 886-6002
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Dr. Herbert J Brennan, DONPI 1659489060
Title
President
Phone
(401) 886-6000

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X DO00445 RI Primary

Addresses

Primary practice location

2358 S County TRL
East Greenwich, RI 02818-1500

Mailing address

2358 S County TRL
East Greenwich, RI 02818-1500
Phone (401) 886-6000

Other identifiers 4

IdentifierTypeStateIssuer
0000025578OtherRIRI BLUE SHIELD
401019OtherRIBLUE CHIP
9020286MedicaidRI
04-00679OtherRIUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080801000192 RI Part B Supplier - Clinic/Group Practice 0648344176 Receives reassigned benefits from 1 practitioner
Practice locations: East Greenwich, RI

National Provider Directory

National Provider Directory

Locations

2358 S County Trl
#J
East Greenwich, RI 02818

2358 S County Trl
East Greenwich, RI 02818
Phone (401) 885-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1184896722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181500",
            "telephone_number": "401-886-6000",
            "fax_number": "401-886-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181500",
            "telephone_number": "401-886-6000",
            "fax_number": "401-886-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT J BRENNAN DO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-886-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO00445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE SHIELD",
            "identifier": "0000025578",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "401019",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020286",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "04-00679",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.