NPIMap

Individual provider Active NPI

Tracey Lynn Brennan, M.D

  • Family Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1891792503
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
197114 Issued in NY
Practice address
294 Grand Ave
Saratoga Springs, NY 12866-5944
Phone
(518) 583-0000
Fax
(518) 583-6005
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 197114 NY Primary

Addresses

Primary practice location

294 Grand Ave
Saratoga Springs, NY 12866-5944

Mailing address

294 Grand Ave
Saratoga Springs, NY 12866-5944
Phone (518) 583-0000

Other identifiers 3

IdentifierTypeStateIssuer
197114OtherNYSHARED HEALTH NETWORK
382088OtherNYMVP
5996122OtherNYGHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000708 NY Practitioner - Family Practice 3870535990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tracey L Brennan MD PLLCGroup PAC ID 2163464280, 2 clinicians

Practice addresses (Care Compare)

324 W Ave
Saratoga Springs, NY 12866
Phone (518) 583-0000

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Ballston Lake, NY, CCN 337401
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tracey L. Brennan, M.D., PLLC Family Medicine CurrentSince May 16, 2005 Accepting new patients

Locations

294 Grand Ave
Saratoga Springs, NY 12866
Phone (518) 580-9182

324 West Ave
Saratoga Springs, NY 12866
Phone (518) 583-0000

Interoperability endpoints

  • Direct secure messaging: drbrennan@324west.medentdirect.com

Organizations & group practices 1

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 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891792503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 GRAND AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665944",
            "telephone_number": "518-583-0000",
            "fax_number": "518-583-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 GRAND AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665944",
            "telephone_number": "518-583-0000",
            "fax_number": "518-583-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "197114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHARED HEALTH NETWORK",
            "identifier": "197114",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "382088",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5996122",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.