Active NPI
Edward Brennan, IDC
- Independent Duty Corpsman
- Camp Lejeune, NC
National Provider Identifier
1952173155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- A66 Courthouse Road
Camp Lejeune, NC 28547 - Phone
- (910) 440-7704
- Fax
- (910) 440-6530
- NPI assigned
- Oct 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
A66 Courthouse Road
Camp Lejeune, NC 28547
Mailing address
PSC Box 20183
Camp Lejeune, NC 28542
Phone (910) 440-7704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1952173155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PSC BOX 20183",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "28542",
"telephone_number": "910-440-7704",
"fax_number": "910-440-6530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A66 COURTHOUSE ROAD",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "28547",
"telephone_number": "910-440-7704",
"fax_number": "910-440-6530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "EDWARD",
"credential": "IDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Lejeune, NC
- Branch Medical Clinic French Creek MCB
- Branch Medical Clinic McAs New River
- Lisa Brandt, PA
- Martin James Braud, DDS
- Danielle Julia Braxton, LPAT, ATR-BC, AP-BC
- Ashley Brewington Loudermilk, D.M.D
- Christopher David Brezina
- Haley Jackson Bridgett, MPAS, PA-C
- Carly Elizabeth Britt
- Matthew Austin Britt, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.