Individual provider Active NPI

Michael W. Brennan, M.D.

  • Cardiovascular Disease Physician
  • Sheridan, WY
National Provider Identifier
1619903705
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4505A Issued in WY
Practice address
1333 West 5TH St, Ste 103
Sheridan, WY 82801-2752
Phone
(307) 675-4610
Fax
(307) 675-4615
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6651 MT
Cardiovascular Disease Physician 207RC0000X 4505A WY Primary

Addresses

Primary practice location

1333 West 5TH St, Ste 103
Sheridan, WY 82801-2752

Mailing address

1333 W 5TH St Ste 110
Sheridan, WY 82801-2752
Phone (307) 675-4610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michaelbrennan@sheridan.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000636 WY Practitioner - Interventional Cardiology 3971405929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Oklahoma College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Practice addresses (Care Compare)

1333 W 5TH St
Sheridan, WY 82801-2752

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.66 of 100Reported as group
Quality
82.09
Promoting interoperability
98
Improvement activities
40
Cost
75.1

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
80.49
Promoting interoperability
94
Improvement activities
40
Cost
68.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4505AWYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sheridan County CurrentSince Dec 16, 2019 Accepting new patients
Big Horn Health Network CurrentSince Jun 1, 2010 Accepting new patients
Memorial Hospital of Sheridan County Family Medicine CurrentSince Dec 16, 2019 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Gastroenterology Associates, LLC Past Accepting new patients

Locations

1333 W 5th St
Ste 103
Sheridan, WY 82801
Phone (307) 672-8921

1333 W 5th St
Ste 206
Sheridan, WY 82801
Phone (307) 672-8921

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

1333 W 5th St
Ste 110
Sheridan, WY 82801
Phone (307) 675-4610

1333 W 5th St
Ste 112
Sheridan, WY 82801
Phone (307) 675-2650

Interoperability endpoints

  • Direct secure messaging: michaelbrennan@sheridan.cernerdirect.com

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.

Hospital & facility affiliations 2

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1619903705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 110",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-675-4610",
            "fax_number": "307-675-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WEST 5TH ST, STE 103",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-675-4610",
            "fax_number": "307-675-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "6651",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "4505A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelbrennan@sheridan.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1333 West 5th St, STE 103",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828012752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.