EDMUND J BRENNAN


Address: 1101 26th St S, Great Falls, MT 59405-5161
Phone: 4067318888

EDMUND J BRENNAN (NPI# 1003812660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003812660
Entity Type Individual
Full Name EDMUND J BRENNAN
Credential MD
Practice Address 1101 26th St S
Great Falls
MT 59405-5161
Practice Telephone 4067318888
Mailing Telephone 4067318888
Enumeration Date 2005-06-28
Last Update Date 2018-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
28201 AZ Allopathic & Osteopathic Physicians
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
65654 MT Allopathic & Osteopathic Physicians
N 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
28201 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ HEALTHNET 1Z5173 01
AZ BLUE CROSS BLUE SHIELD AZ0863440 01
AZ UNITED HEALTHCARE 2500514 01
AZ RAILROAD MEDICARE 060057219 01
AZ 500711 05

Office Location

Street Address 1101 26TH ST S
City GREAT FALLS
State MT
Zip Code 59405-5161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245237809 Nicole Andrea Hanson Nurse Practitioner 1101 26th St S, Great Falls, MT 59405-5161 2005-06-28
1407461429 Michael Charles German II Nurse Practitioner 1101 26th St S, Great Falls, MT 59405-5161 2020-09-15
1205445095 Jeffrey Allen Smith Nurse Practitioner 1101 26th St S, Great Falls, MT 59405-5161 2020-07-28
1477178606 Kiarra Mcgee Pharmacist 1101 26th St S, Great Falls, MT 59405-5161 2020-06-12
1912522483 Katelyn Myllymaki-keller Physician Assistant 1101 26th St S, Great Falls, MT 59405-5161 2020-06-10
1073135471 Aimee Thornton Pharmacist 1101 26th St S, Great Falls, MT 59405-5161 2020-05-08
1023639531 Jamie Whisler Student in an Organized Health Care Education/Training Program 1101 26th St S, Great Falls, MT 59405-5161 2020-05-06
1205476751 Sarah Ryan Dietitian, Registered 1101 26th St S, Great Falls, MT 59405-5161 2020-01-13
1043861669 Samantha Anne Basco Pharmacist 1101 26th St S, Great Falls, MT 59405-5161 2019-09-25
1114576543 Katrina Mae Smith Nurse Practitioner 1101 26th St S, Great Falls, MT 59405-5161 2019-09-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902446180 Reilly Kunz Physical Therapist 2621 15th Ave South, Great Falls, MT 59405 2020-01-15
1336617224 Brandi Noel Sauer Behavior Technician 1601 2nd Ave North Suite 518, Great Falls, MT 59405 2018-11-08
1982103446 Traci Raines Aprn Pllc Nurse Practitioner 120 Marillyn Dr, Great Falls, MT 59405 2018-02-09
1003332818 Great Falls Health Supplies Durable Medical Equipment & Medical Supplies 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 2017-08-15
1518489426 Jessica Lynn Keller Specialist/Technologist 720 46th Street South, Great Falls, MT 59405 2017-07-12
1235678475 Vanessa Claudia Hernandez Occupational Therapist 2621 15 Ave So, Great Falls, MT 59405 2017-02-21
1871039339 Morgan Laux Olsen Specialist/Technologist 1301 20th St S, Great Falls, MT 59405 2017-01-09
1558807198 Greg Robert Lipton Occupational Therapist 2621 15th Ave So, Great Falls, MT 59405 2017-01-06
1386180925 Jessica Lee Krahn Physical Therapist 2621 15th Ave So., Great Falls, MT 59405 2017-01-06
1811430150 Juli Brandvold Massage Therapist 2400 4th Ave S., Great Falls, MT 59405 2016-11-18
Find all providers in zip 59405

Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205152469 William Frederick Dresen IIi Internal Medicine 801 N 29th St, Billings, MT 59101 2010-04-13
1013181833 Simone Musco Internal Medicine 500 W Broadway St, Ste 320, Missoula, MT 59802-4008 2008-04-14
1184823643 Jonathan Brunson Internal Medicine 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 2007-07-15
1942414594 Loren P Budge Internal Medicine 801 N 29th St, Billings, MT 59101-0905 2007-05-10
1992804843 Alan R. Thometz Internal Medicine 801 N 29th St, Billings, MT 59101-0905 2006-09-21
1427096585 Providence Health & Services Mt Internal Medicine 500 W Broadway St, Suite 320, Missoula, MT 59802 2006-06-02
1831149269 Patricia Anne Kelly Internal Medicine 2827 Fort Missoula Rd, Missoula, MT 59804-7408 2006-05-10

Competitor

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City GREAT FALLS
Zip Code 59405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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