Robert Eric Brennan, D.C
Individual provider Active NPI Chiropractor · Wayne, PA
NPI 1356730261 · NPPES record last updated Nov 4, 2016
Key facts
- NPI
- 1356730261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC010989 (PA)
- Practice address
- 992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803 - Phone
- (610) 337-7463
- NPI assigned
- Jan 15, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- King of Prussia Family Wellness Center, PC
Practice addresses (Care Compare)
992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Phone (610) 337-7463
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150416001880 | PA | Practitioner - Chiropractic | 9931427218 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King of Prussia Family Wellness Center, PC | Chiropractor | Current |
Accepting new patients |
Locations
992 Old Eagle School Rd
Ste 902
Wayne, PA 19087
Phone (610) 337-7463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010989 | PA | Yes |
Addresses
Primary practice location
992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Mailing address
992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Phone (610) 337-7463
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.