Michael Ledwith Brennan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

330745 Issued in NY

Practice address

500 Helendale Rd
L20
Rochester, NY 14609-3173

Phone

(585) 288-0890

Fax

(585) 288-0893

NPI assigned

Sep 21, 2006

Last updated

Oct 2, 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 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: st.joseph@sjncenter.directbygreenway.com

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.

• His Branches, Inc.

  • Community Health Clinic/Center
  • Rochester, NY
  • NPI 1134485840
  Medicare reassignment NPD (past)
• Regional Health Reach Inc.

  dba Regional HealthReach Multi-Specialty

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1225612765
  NPD
• Regional Health Reach Inc.

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1871128371
  NPD
• The Frederick Ferris Thompson Hospital

  dba UR Medicine Thompson Health Victor Medical Group Pharmacy

  • Community/Retail Pharmacy
  • Victor, NY
  • NPI 1831914274
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1396843314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 N CAVALIER RD",
            "city": "SCOTTSVILLE",
            "state": "NY",
            "postal_code": "14546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD",
            "address_2": "L20",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-288-0890",
            "fax_number": "585-288-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MICHAEL",
        "middle_name": "LEDWITH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "330745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "109129BF",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P019330475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantel Brena Brennan
• Dawn Brennan, N.P.
• Haley Kim Brennan, LCSW
• Kathleen Mary Brennan, N.P.
• Kristy Lynn Brennan
• Sarah Dawn Brennan
• Amanda Elise Brennen, PA
• Charles M Brenner, D.M.D.
• Joan Sirelle Brenner, CNM
• Brenner, Levy, Musiker & Weiner, LLP (North Coast Dental Group)

• Family Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.