Mark J Brennan, MD

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

4301405324 Issued in MI

Practice address

43650 Garfield Rd
Clinton Township, MI 48038-7419

Phone

(586) 263-0820

Fax

(586) 263-3819

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Wayne State University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Family Practice PLLCGroup PAC ID 7416088463, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbrennan538716@direct.hfhs.org
• Direct secure messaging: mbrennan@nsg.ssdirect.aprima.com

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.

• Associates in Family Practice PLLC

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1790008753
  Medicare reassignment Care Compare group NPD
• Neurosurgery Group, P.C.

  dba Wellness Physical Medicine Center

  • Neurological Surgery Physician
  • Clinton TWP, MI
  • NPI 1386736536

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• Neurosurgery Group, P.C.

  • Specialist
  • Clinton TWP, MI
  • NPI 1275814915
  NPD

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1225001746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43650 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387419",
            "telephone_number": "586-263-0820",
            "fax_number": "586-263-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43650 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387419",
            "telephone_number": "586-263-0820",
            "fax_number": "586-263-3819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Orchard Lake Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223606",
            "country_code": "US",
            "telephone_number": "248-862-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "MI",
            "license": "4301405324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4815088",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon T Braman, CRNA
• Braswell Family Dentistry, PLC
• Melissa Braswell, DDS
• Angelique Lenore Breeding
• Christopher R Brennan, ACSW LMSW
• Shelby Brennan Brennan
• Lauren Renee Bresky, LLMSW
• Donald Joseph Bretz, DC
• Brian Hill DDS PC
• Rachele Arliene Brichacek, PT

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.