Dan Brennan

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

00183 Issued in MO

Practice address

Lindenwood University 209 South Kingshighway
Hyland Arena
Saint Charles, MO 63301-9998

Phone

(636) 949-4365

NPI assigned

May 17, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972030344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LINDENWOOD UNIVERSITY",
            "address_2": "209 SOUTH KINGSHIGHWAY - HYLAND ARENA ATHLETIC TRAINING",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "63301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LINDENWOOD UNIVERSITY 209 SOUTH KINGSHIGHWAY",
            "address_2": "HYLAND ARENA",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633019998",
            "telephone_number": "636-949-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Lindenwood University 209 South Kingshighway",
            "address_2": "Hyland Arena",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633019998",
            "country_code": "US",
            "telephone_number": "636-949-4365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "DAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "00183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.