Active NPI
Delon F.P. Brennen, M.D.
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1982653093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 061826
- Practice address
- 720 Westview Dr SW
Department of Pediatrics
Atlanta, GA 30310-1458 - Phone
- (404) 756-1330
- NPI assigned
- May 8, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 061826 | GA | |
| Pediatrics Physician | 208000000X | 061826 | GA | Primary |
Addresses
Primary practice location
720 Westview Dr SW
Department of Pediatrics
Atlanta, GA 30310-1458
Mailing address
720 Westview Dr SW
Department of Pediatrics
Atlanta, GA 30310-1458
Phone (404) 756-1330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010054648 | Medicaid | VA | |
| 790663H | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Healthcare, Inc. | Pediatrics | Past | Accepting new patients |
| Childrens Specialty Group PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1982653093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WESTVIEW DR SW",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101458",
"telephone_number": "404-756-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WESTVIEW DR SW",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101458",
"telephone_number": "404-756-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNEN",
"first_name": "DELON",
"middle_name": "F.P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "GA",
"license": "061826",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "061826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010054648",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790663H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.