James R Brennan, M.D.
Individual provider Active NPI Specialist · Columbia, SC
NPI 1477533933 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1477533933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 12610 (SC)
- Practice address
- 1740 Saint Julian PL
Columbia, SC 29204-2410 - Phone
- (803) 256-3534
- Fax
- (803) 254-7032
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110718000376 | SC | Practitioner - Endocrinology | 2860473493 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurel Endocrine Assoc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12610 | SC | Yes |
Addresses
Primary practice location
1740 Saint Julian PL
Columbia, SC 29204-2410
Mailing address
PO Box 5307
Columbia, SC 29250-5307
Phone (803) 256-3534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126107 | Medicaid | SC |
Other providers in Columbia, SC
- Robert Joseph Breen
- Kimberly Sue Bregenzer
- Brella Counseling Services LLC
- Brent J Bremer
- Eric Brener
- Margaret McCall Brennan
- Meghan Brennan
- Stacey V Brennan
- Jennifer Brennison
- Sara Elizabeth Brescia
All providers in Columbia, SC · Specialist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.