Brennan Geriatric Medicine PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

0101242464 Issued in VA

Legal business name

BRENNAN GERIATRIC MEDICINE PC

Practice address

5717 Park Creste Dr
Glen Allen, VA 23059-2604

Phone

(804) 426-2977

Fax

(855) 392-9700

NPI assigned

Jan 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sirisha Brennan, M.D.

Title

President

Phone

(804) 426-2977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1265899124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 PARK CRESTE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592604",
            "telephone_number": "804-426-2977",
            "fax_number": "855-392-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 PARK CRESTE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592604",
            "telephone_number": "804-426-2977",
            "fax_number": "855-392-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNAN GERIATRIC MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-24",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "SIRISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-426-2977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101242464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Boykin, LPC
• Timothy Joel Bratton, HIS
• Braxton Family Services
• Breatheamerica, Richmond, LLC
• Eleanor Bremer
• Matthew P Brennan, PT, DPT
• Sirisha Brennan, M.D.
• Peter B Breslin, M.D.
• Brian Bins DMD PLLC
• Marvin Warren Bridgers III, RPH

• Geriatric Medicine (Internal Medicine) Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.