William Moyer Brennan, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1474 Issued in AZ

Practice address

2732 N Alvernon Way
Tucson, AZ 85712-1804

Phone

(520) 382-3330

Fax

(520) 382-3340

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironwood Dermatology, PCGroup PAC ID 1153346127, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.14 of 100Reported as group

Quality

85.22

Improvement activities

40

Cost

83.5

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Ironwood Dermatology, PC

  • Dermatology Physician
  • Tucson, AZ
  • NPI 1558363465
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336231869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121804",
            "telephone_number": "520-382-3330",
            "fax_number": "520-382-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121804",
            "telephone_number": "520-382-3330",
            "fax_number": "520-382-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "WILLIAM",
        "middle_name": "MOYER",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bina Breitner, L.M.F.T.
• Lynne Marie Bremer, MA, CCC-A, F-AAA
• Zachary Brems
• Alexa Nicole Brena, RN
• Joseph Richard Brennan III, PH.D.
• Renee Brenteson, LMT
• Meredith Mae Brescia
• Marija N/a Bresovska, RN
• Abraham N Bressler, D.O.
• Dennis Glenn Bressler, CCP

• Medical Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.