Brian James McKenna, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RT-2984 Issued in NH

Practice address

15 Antrim Rd
Hillsboro, NH 03244-5250

Phone

(603) 464-3434

NPI assigned

Jul 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1942652144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANTRIM RD",
            "city": "HILLSBORO",
            "state": "NH",
            "postal_code": "032445250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANTRIM RD",
            "city": "HILLSBORO",
            "state": "NH",
            "postal_code": "032445250",
            "telephone_number": "603-464-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "RT-2984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Lee, D.C.
• Courtney Leitner
• Jenna M Rheault, OTR/L
• Cassandra Martineau Old
• Richard Matte Jr., ED.D.
• Brooke McLain, RN-MSN
• Suzanne A McPhee, LMT
• Charles Robert Puleo, DMD
• Rite Aid of New Hampshire Inc (Rite Aid Pharmacy 04163)
• Holly Rodriguez

• Family Medicine Physician in Hillsboro, NH
• Providers in Hillsboro, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.