Active NPI
William A. Brennan, M.D.
- Neurological Surgery Physician
- Lafayette, LA
National Provider Identifier
1578784468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD.202641
- Practice address
- 4212 W Congress Street
Suite 3500
Lafayette, LA 70506-6765 - Phone
- (337) 981-2125
- Fax
- (337) 981-2174
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD.202641 | LA | Primary |
Addresses
Primary practice location
4212 W Congress Street
Suite 3500
Lafayette, LA 70506-6765
Mailing address
4212 W. Congess St.
Suite 3500
Lafayette, LA 70506-6765
Phone (337) 981-2125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86810 | CA | MD | Pharmacist |
| MD.202641 | LA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1578784468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 W. CONGESS ST.",
"address_2": "SUITE 3500",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066765",
"telephone_number": "337-981-2125",
"fax_number": "337-981-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 W CONGRESS STREET",
"address_2": "SUITE 3500",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066765",
"telephone_number": "337-981-2125",
"fax_number": "337-981-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "WILLIAM",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "LA",
"license": "MD.202641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.