Active NPI
Haley Diane Brennan, PA-C
- Medical Physician Assistant
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10201
- Practice address
- 4705 Briarwood Ave
Midland, TX 79707-2639 - Phone
- (325) 054-1454
- Fax
- (833) 941-0864
- NPI assigned
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10201 | TX | Primary |
Addresses
Primary practice location
4705 Briarwood Ave
Midland, TX 79707-2639
Mailing address
4705 Briarwood Ave
Midland, TX 79707-2639
Phone (325) 054-1454
Other practice location 1
6301 Andrews Hwy
Midland, TX 79706-3147
Phone (432) 505-4147
Other practice location 2
616 N Main Street
Andrews, TX 79706-3147
Phone (432) 505-4146
Other practice location 3
3490 East Yukon Rd
Odessa, TX 79762-2010
Phone (432) 520-4086
Other practice location 4
5514 N Big Spring Street
Midland, TX 79705-2697
Phone (432) 316-2441
Other practice location 5
6950 Eastridge Road
Odessa, TX 79765-8971
Phone (432) 505-4145
Other names 1
- Miss Haley Diane Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Texas Tech University Health Science Center School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3490 E Yukon Rd
Odessa, TX 79762-2010
Phone (432) 520-4086
4705 Briarwood Ave
Midland, TX 79707-2639
Phone (432) 618-5215
6950 Eastridge Rd
Odessa, TX 79765-8971
Phone (432) 366-0207
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10201 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wes Tex Urgent Care, PLLC | Current | Accepting new patients | |
| Gupta and Gupta Pediatrics MD PA | Past | Accepting new patients | |
| Wes Tex Urgent Care, PLLC | Past | Accepting new patients |
Locations
616 N Main St
Andrews, TX 79714
Phone (432) 375-5247
5514 N Big Spring St
Midland, TX 79705
Phone (432) 316-2441
6301 Andrews Hwy
Midland, TX 79706
Phone (432) 375-5247
4705 Briarwood Ave
Midland, TX 79707
Phone (432) 505-4145
210 W Longview Ave
Ste A
Midland, TX 79701
Phone (432) 789-1587
3490 E Yukon Rd
Odessa, TX 79762
Phone (432) 375-5247
6950 Eastridge Rd
Odessa, TX 79765
Phone (432) 366-0207
Interoperability endpoints
- haley.wilson.1@26958.direct.athenahealth.com
- https://api.platform.athenahealth.com/16819/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Midland, TX
- NPI 1457131294
-
- Urgent Care Clinic/Center
- Odessa, TX
- NPI 1588043707
-
- Urgent Care Clinic/Center
- Midland, TX
- NPI 1912421645
-
- Pediatrics Physician
- Midland, TX
- NPI 1730118415
-
- Urgent Care Clinic/Center
- Andrews, TX
- NPI 1942084322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1528430865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 BRIARWOOD AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797072639",
"telephone_number": "325-054-1454",
"fax_number": "833-941-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 BRIARWOOD AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797072639",
"telephone_number": "325-054-1454",
"fax_number": "833-941-0864"
}
],
"practiceLocations": [
{
"address_1": "6301 Andrews Hwy",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "797063147",
"country_code": "US",
"telephone_number": "432-505-4147",
"fax_number": "833-449-4803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "616 N Main Street",
"address_purpose": "LOCATION",
"city": "Andrews",
"state": "TX",
"postal_code": "797063147",
"country_code": "US",
"telephone_number": "432-505-4146",
"fax_number": "866-450-0805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3490 East Yukon Rd",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "797622010",
"country_code": "US",
"telephone_number": "432-520-4086",
"fax_number": "833-972-5449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5514 N Big Spring Street",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "797052697",
"country_code": "US",
"telephone_number": "432-316-2441",
"fax_number": "833-428-1421",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6950 Eastridge Road",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "797658971",
"country_code": "US",
"telephone_number": "432-505-4145",
"fax_number": "833-941-0862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENNAN",
"first_name": "HALEY",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2025-03-10",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA10201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "WILSON",
"middle_name": "DIANE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.
- 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.