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).
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 |
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 |
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 |
Street Address |
1101 26TH ST S |
City | GREAT FALLS |
State | MT |
Zip Code | 59405-5161 |
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 |
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 Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
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. |
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 |
City | GREAT FALLS |
Zip Code | 59405 |
Please comment or provide details below to improve the information on EDMUND J BRENNAN.
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.