Individual provider Active NPI

Julia Ruth Brennan, M.D.

  • Facial Plastic Surgery Physician
  • Hood River, OR
National Provider Identifier
1912561069
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
223408 Issued in OR
Practice address
1784 May St
Hood River, OR 97031-1353
Phone
(541) 436-3880
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036168789 IL
Facial Plastic Surgery Physician 207YS0123X 223408 OR Primary

Addresses

Primary practice location

1784 May St
Hood River, OR 97031-1353

Mailing address

1784 May St
Hood River, OR 97031-1353
Phone (541) 436-3880

Other practice location 1

7209 Medical Center East-South Tower
1215 21st Ave South
Nashville, TN 37232
Phone (615) 343-6972

Other practice location 2

675 N Saint Clair St Ste 15-200
Chicago, IL 60611-5967
Phone (312) 695-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240531000822 IL Practitioner - Otolaryngology 1153763479
I20250916002075 OR Practitioner - Otolaryngology 1153763479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendy S Maccabee MD Consultant LLCGroup PAC ID 7911330329, 2 clinicians

Practice addresses (Care Compare)

1784 May St
Hood River, OR 97031-1353
Phone (541) 436-3880

Hospital & facility affiliations

  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036168789ILMDOtolaryngology Physician
223408ORMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mendy S Maccabee MD Consultant LLC Otolaryngology CurrentSince Sep 15, 2025 Accepting new patients

Locations

1784 May St
Hood River, OR 97031
Phone (541) 386-4511

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 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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1912561069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 MAY ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311353",
            "telephone_number": "541-436-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 MAY ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311353",
            "telephone_number": "541-436-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7209 Medical Center East-South Tower",
            "address_2": "1215 21st Ave South",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37232",
            "country_code": "US",
            "telephone_number": "615-343-6972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 N Saint Clair St Ste 15-200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115967",
            "country_code": "US",
            "telephone_number": "312-695-8182",
            "fax_number": "312-695-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JULIA",
        "middle_name": "RUTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036168789",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "OR",
            "license": "223408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.