Individual provider Active NPI

Patrick M Brennan, DO

  • Sports Medicine (Family Medicine) Physician
  • Midland, TX
National Provider Identifier
1295354264
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
U0080 Issued in TX
Practice address
5615 Deauville Ste 220
Midland, TX 79706-2707
Phone
(432) 221-4004
Fax
(432) 221-4708
NPI assigned
Apr 10, 2020
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X U0080 TX Primary

Addresses

Primary practice location

5615 Deauville Ste 220
Midland, TX 79706-2707

Mailing address

5615 Deauville Ste 220
Midland, TX 79706-2707
Phone (432) 221-4004

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240710003591 TX Practitioner - Family Practice 5890126551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians
Midland Texas Orthopedic Group IncGroup PAC ID 1850527557, 16 clinicians

Practice addresses (Care Compare)

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

5615 Deauville
Suite 220
Midland, TX 79706-2707
Phone (432) 686-0321

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
U0080TXMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Texas Orthopedic Group Inc CurrentSince Aug 11, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Aug 11, 2024 Accepting new patients
West Texas Orthopedics LLP Past Accepting new patients

Locations

10 Desta Dr
Ste 100E
Midland, TX 79705
Phone (432) 686-0321

5615 Deauville
Ste 220
Midland, TX 79706
Phone (432) 221-4004

Interoperability endpoints

  • Direct secure messaging: patrick.brennan.1@3522.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1295354264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062707",
            "telephone_number": "432-221-4004",
            "fax_number": "432-221-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062707",
            "telephone_number": "432-221-4004",
            "fax_number": "432-221-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "PATRICK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "U0080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.