Active NPI
John P. Brennan, M.D.
- Obstetrics & Gynecology Physician
- Brooklyn, NY
National Provider Identifier
1689799447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 174425
- Practice address
- 220 Pacific St
Brooklyn, NY 11201-5713 - Phone
- (718) 222-3636
- Fax
- (718) 222-4921
- NPI assigned
- Mar 20, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 174425 | NY | Primary |
Addresses
Primary practice location
220 Pacific St
Brooklyn, NY 11201-5713
Mailing address
220 Pacific St
Brooklyn, NY 11201-5713
Phone (718) 222-3636
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88738 | Other | AETNA US HEALTHCARE | |
| KP152 | Other | OXFORD HEALTH PLANS | |
| 4C4455 | Other | HEALTHNET | |
| 0075872 | Other | NY | GHI |
| 01155706 | Medicaid | NY | |
| 47F581 | Other | NY | EMPIRE BCBS |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174425 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1689799447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 PACIFIC ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015713",
"telephone_number": "718-222-3636",
"fax_number": "718-222-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 PACIFIC ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015713",
"telephone_number": "718-222-3636",
"fax_number": "718-222-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "JOHN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "174425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "88738",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "KP152",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C4455",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0075872",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01155706",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "47F581",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.