Active NPI
Gregory Brennan, M.D.
- Gastroenterology Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- Q4044
- Practice address
- 647 N Miller Rd Ste B
Mansfield, TX 76063-6180 - Phone
- (817) 760-7969
- Fax
- (817) 760-7976
- NPI assigned
- Apr 15, 2013
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Q4044 | TX | Primary |
Addresses
Primary practice location
647 N Miller Rd Ste B
Mansfield, TX 76063-6180
Mailing address
PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190729000813 | TX | Practitioner - Gastroenterology | 2466737259 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Tufts University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Digestive Disease Consultants, PLLC
Practice addresses (Care Compare)
505 S Nolen Dr
A
Southlake, TX 76092-9167
Phone (817) 424-1525
Hospital & facility affiliations
- Texas Health Hospital Mansfield
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 71 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141634 | CA | MD | Marriage & Family Therapist |
| Q4044 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants, PLLC | Single Specialty | Current | Accepting new patients |
| Texas Digestive Disease Consultants PLLC | Single Specialty | Current | Accepting new patients |
Locations
601 S Main St
Keller, TX 76248
Phone (817) 741-4347
920 Highway 287 N
Ste 308
Mansfield, TX 76063
Phone (817) 473-7197
647 N Miller Rd
Ste B
Mansfield, TX 76063
Phone (817) 760-7969
505 S Nolen Dr
#A
Southlake, TX 76092
Phone (817) 424-1525
Organizations & group practices 8
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.
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- NPI 1275739815
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- NPI 1508400425
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Gastroenterology
Hospital & facility affiliations 1
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": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1689017105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35629",
"city": "DALLAS",
"state": "TX",
"postal_code": "752350629",
"telephone_number": "214-424-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 N MILLER RD STE B",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636180",
"telephone_number": "817-760-7969",
"fax_number": "817-760-7976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-15",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "Q4044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.