Active NPI
James Francis Brennan, MD
- Urology Physician
- San Andreas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 18586
- Practice address
- 768 Mountain Ranch Rd
San Andreas, CA 95249-9707 - Phone
- (209) 754-2602
- Fax
- (209) 754-2602
- NPI assigned
- Jun 29, 2006
- Last updated
- Jan 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 18586 | AZ | Primary |
| Urology Physician | 208800000X | DR0029357 | CO |
Addresses
Primary practice location
768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Mailing address
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 733-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18586 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JAMES.BRENNAN@hca2.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Icahn School of Medicine at Mount Sinai, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3401 S White Mountain Blvd
Suite E
Show Low, AZ 85901-7607
PO Box
Suite 10880
Prescott, AZ 86304
PO Box
Suite 4164
Belfast, ME 04915-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18586 | AZ | MD | Urology Physician |
| DR0029357 | CO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Yrmc Hospice | Current | Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Yavapai Pathology Associates PLC | Current | Accepting new patients | |
| Yavapai Community Hospital Association | Current | Accepting new patients | |
| Yavapai Community Hospital Association | Current | Accepting new patients |
Locations
1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700
3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818
Interoperability endpoints
- james.brennan@hca2.eclinicaldirectplus.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott Valley, AZ
- NPI 1871534487
-
- Anatomic Pathology Physician
- Prescott, AZ
- NPI 1841234184
-
dba Yavapai Regional Medical Center Physician Care
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1255582003
-
dba Yavapai Regional Medical Center Physician Care
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1528394830
-
- Community Based Hospice Care Agency
- Prescott Valley, AZ
- NPI 1467409219
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1942238704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 Q ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167058",
"telephone_number": "916-733-3310",
"fax_number": "916-733-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "768 MOUNTAIN RANCH RD",
"city": "SAN ANDREAS",
"state": "CA",
"postal_code": "952499707",
"telephone_number": "209-754-2602",
"fax_number": "209-754-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "JAMES",
"middle_name": "FRANCIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "18586",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "DR0029357",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18586",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JAMES.BRENNAN@hca2.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "768 Mountain Ranch Rd",
"city": "San Andreas",
"state": "CA",
"country_code": "US",
"postal_code": "952499707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Andreas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.