NPIMap

Individual provider Active NPI

Steven Brennan, DO

  • Family Medicine Physician
  • Essexville, MI
National Provider Identifier
1487093589
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020572 Issued in MI
Practice address
1458 W Center Rd
Suite 1
Essexville, MI 48732-2151
Phone
(989) 895-4625
Fax
(989) 895-4626
NPI assigned
Jun 21, 2013
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101020572 MI Primary

Addresses

Primary practice location

1458 W Center Rd
Suite 1
Essexville, MI 48732-2151

Mailing address

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbrennan@direct.mhc.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803002179 MI Practitioner - Family Practice 5890089536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Practice addresses (Care Compare)

7985 S Mackinaw TRL
MHC OBGYN
Cadillac, MI 49601-8111
Phone (231) 876-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101020572MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Cadillac Family Medicine CurrentSince Aug 8, 2016 Accepting new patients
Munson Healthcare Cadillac CurrentSince Aug 8, 2016 Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients

Locations

3782 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

7985 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 825-8101

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

Interoperability endpoints

  • Direct secure messaging: sbrennan@direct.mhc.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1487093589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 W CENTER RD",
            "address_2": "SUITE 1",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322151",
            "telephone_number": "989-895-4625",
            "fax_number": "989-895-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "STEVEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrennan@direct.mhc.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1458 W Center Rd",
            "address_2": "Suite 1",
            "city": "Essexville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487322151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Essexville, MI

Sources for this page

Verify at the official NPI Registry.