Suzanne Elaine Brennan, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

0119001914 Issued in VA

Practice address

3900 Windsor Hall Dr
F235
Williamsburg, VA 23188-2875

Phone

(757) 229-2808

NPI assigned

Jan 11, 2010

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1538499751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 OLD CARRIAGE WAY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887881",
            "telephone_number": "757-564-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WINDSOR HALL DR",
            "address_2": "F235",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882875",
            "telephone_number": "757-229-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "SUZANNE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0119001914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0119001914",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Wallace Brantley, NP
• Suzanne Elizabeth Brassel, PHD
• Joan L Brauckmann, MD
• Kregan Brault, CNM
• Johnston M Brendel, LPC, LMFT
• Haley Brewitt, FNP
• Retecka Bright
• Asheleigh M Britt
• William Broas, DDS
• Stephanie Marie Brockler Robinson, M.S., CFY-SLP

• Specialist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.