Organization Active NPI

Dr Brian Brennan DC PA

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1407988371
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5559 Issued in FL
Legal business name
DR BRIAN BRENNAN DC PA
Practice address
111 E Garden St
Pensacola, FL 32502-5623
Phone
(850) 429-9911
Fax
(850) 429-9933
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Brian P Brennan I, DC
Title
Owner Provider
Phone
(850) 429-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH5559 FL Primary

Addresses

Primary practice location

111 E Garden St
Pensacola, FL 32502-5623

Mailing address

111 E Garden St
Pensacola, FL 32502-5623
Phone (850) 429-9911

National Provider Directory

National Provider Directory

Locations

111 E Garden St
Pensacola, FL 32502
Phone (850) 429-9911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1407988371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E GARDEN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025623",
            "telephone_number": "850-429-9911",
            "fax_number": "850-429-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E GARDEN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025623",
            "telephone_number": "850-429-9911",
            "fax_number": "850-429-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRIAN BRENNAN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "850-429-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.