Individual provider Active NPI

Robert Eric Brennan, D.C

  • Chiropractor
  • Wayne, PA
National Provider Identifier
1356730261
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010989 Issued in PA
Practice address
992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Phone
(610) 337-7463
NPI assigned
Jan 15, 2015
Last updated
Nov 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010989 PA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150416001880 PA Practitioner - Chiropractic 9931427218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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, PCGroup PAC ID 2668407230, 3 clinicians

Practice addresses (Care Compare)

992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Phone (610) 337-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King of Prussia Family Wellness Center, PC Chiropractor CurrentSince Apr 1, 2015 Accepting new patients

Locations

992 Old Eagle School Rd
Ste 902
Wayne, PA 19087
Phone (610) 337-7463

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1356730261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 OLD EAGLE SCHOOL RD",
            "address_2": "SUITE 902",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871803",
            "telephone_number": "610-337-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 OLD EAGLE SCHOOL RD",
            "address_2": "SUITE 902",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871803",
            "telephone_number": "610-337-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "ROBERT",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-15",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.