Brennan Timothy Adkins
Individual provider Active NPI Peer Specialist · Mansfield, OH
NPI 1215510433 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1215510433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 151 Marion Ave
Mansfield, OH 44903-2223 - Phone
- (419) 774-9969
- NPI assigned
- May 5, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
151 Marion Ave
Mansfield, OH 44903-2223
Mailing address
61 W Park Dr
Shelby, OH 44875-1455
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.