Active NPI
Herbert J Brennan DO LTD
- Internal Medicine Physician
- East Greenwich, RI
National Provider Identifier
1184896722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO00445
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Herbert J Brennan, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000025578 | Other | RI | RI BLUE SHIELD |
| 401019 | Other | RI | BLUE CHIP |
| 9020286 | Medicaid | RI | |
| 04-00679 | Other | RI | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- East Greenwich, RI
- NPI 1659489060
-
- Internal Medicine Physician
- East Greenwich, RI
- NPI 1740383389
-
- Internal Medicine Physician
- East Greenwich, RI
- NPI 1518490770
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.