Charles G Brennan, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

28012 Issued in MA

Practice address

9 Colby St
Salem, MA 01970

Phone

(978) 745-6282

Fax

(978) 745-1127

NPI assigned

Jan 17, 2006

Last updated

Jun 24, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1346229424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COLBY ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-6282",
            "fax_number": "978-745-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COLBY ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-6282",
            "fax_number": "978-745-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "CHARLES",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "28012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031426",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Bradley, MS CCC-SLP
• Jeffry B Brand, MD
• Heather Brannelly
• Stephen Brauninger
• Alexandra Bravoco, D.M.D.
• Crystal Mae Brennan, LMHC
• Samantha Marie Foley Brennan
• Diana Brenner-Miller, M.S. CCC-SLP
• Julie Gale Breskin, PHD
• Lisa K Breslin, LCMT

• Orthopaedic Surgery Physician in Salem, MA
• Providers in Salem, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.