Individual provider Active NPI

Hayley Lawrence Brennan, DO

  • Pediatrics Physician
  • Wytheville, VA
National Provider Identifier
1861142374
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102209349 Issued in VA
Practice address
590 W Ridge Rd Ste J
Wytheville, VA 24382-1067
Phone
(276) 228-2405
NPI assigned
Mar 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102209349 VA Primary

Addresses

Primary practice location

590 W Ridge Rd Ste J
Wytheville, VA 24382-1067

Mailing address

590 W Ridge Rd Ste J
Wytheville, VA 24382-1067
Phone (276) 228-2405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250809000089 VA Practitioner - Pediatric Medicine 0143728188 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102209349VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe County Physician Practices LLC Pediatrics CurrentSince Sep 1, 2025 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

340 Virginia Ave
Wytheville, VA 24382
Phone (276) 223-1703

590 W Ridge Rd
Ste J
Wytheville, VA 24382
Phone (276) 228-2405

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

590 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-6312

Interoperability endpoints

  • Direct secure messaging: hayley.brennan.1@19847.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1861142374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD STE J",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821067",
            "telephone_number": "276-228-2405",
            "fax_number": "833-941-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD STE J",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821067",
            "telephone_number": "276-228-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "HAYLEY",
        "middle_name": "LAWRENCE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102209349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.