DR. MATTHEW PETER BRENNAN (NPI# 1174799688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174799688 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW PETER BRENNAN |
| Credential | MD |
| Practice Address |
624 Highway 90 Bay St Louis MS 39520-2715 |
| Mailing Address |
2104 Gause Blvd W Suite A Slidell LA 70460-4130 |
| Practice Telephone | 2284679905 |
| Practice Fax Number | 2284679961 |
| Mailing Telephone | 9856434512 |
| Mailing Fax Number | 9856434513 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2017-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 24902 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750797049 | Matthew John Brennan | Pharmacist | 152 Diane Dr, Cheektowaga, NY 14225-5202 | 2014-07-07 |
| 1730333097 | Matthew Steele Brennan | Dentist | 330 Park Pl, Mishawaka, IN 46545-3555 | 2008-11-12 |
| 1629572086 | Matthew James Brennan | Student in an Organized Health Care Education/Training Program | 4190 City Ave, Philadelphia, PA 19131-1626 | 2018-03-21 |
| 1457899916 | Matthew J Brennan | Physical Therapist | 730 S Broad St, Lansdale, PA 19446-5211 | 2017-02-05 |
| 1497106702 | Matthew Brennan | Social Worker | 95 Circular Ave, Hamden, CT 06514-4004 | 2016-06-28 |
| 1881057230 | Matthew James Brennan | Family Medicine | 4151 Bladensburg Rd, Colmar Manor, MD 20722 | 2016-04-02 |
| 1699135269 | Matthew Brennan | Peer Specialist | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2016-02-25 |
| 1831538057 | Matthew Sean Brennan | Urology | 135 San Lorenzo Ave Ste 540, Coral Gables, FL 33146-1880 | 2013-06-20 |
| 1497981161 | Matthew P Brennan | Physical Therapist | 10128 W Broad St, Forum Building IIi, Suite K, Glen Allen, VA 23060-6761 | 2009-06-08 |
| 1639312739 | Matthew Christopher Brennan | Internal Medicine | 2102 Harrisburg Pike, Lancaster, PA 17601-2644 | 2009-04-20 |
| Street Address |
624 HIGHWAY 90 |
| City | BAY ST LOUIS |
| State | MS |
| Zip Code | 39520-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285993337 | Em Dimitri Do Pmc | Dermatology | 624 Highway 90, Bay St Louis, MS 39520-2715 | 2012-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470568 | Michael Stephens | Student in an Organized Health Care Education/Training Program | 236 Eighth Street, Bay Saint Louis, MS 39520 | 2020-09-06 |
| 1437400959 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 600 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1245581768 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 602 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1912258427 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6590 Lakeshore Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1942551445 | Hancock Medical Health Services | Nurse Practitioner | 750 Blue Meadow Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1134404809 | Hancock Chiropractic LLC | Chiropractor | 806 Hwy 90, Bay St. Louis, MS 39520 | 2011-10-13 |
| 1669762902 | Stacey Marie Kreher | Nurse Practitioner | 1009 Benigno Ln., Hancock Women's Center, Bay St. Louis, MS 39520 | 2011-04-07 |
| 1639352123 | Joyce Deloris Buie | Nurse Practitioner | 3062 Longfellow Rd, #25, Bay St. Louis, MS 39520 | 2007-12-07 |
| 1336346451 | Ochsner Medical Center - Hancock LLC | Clinic/Center | 3068 Port and Harbor Dr, Bay St Louis, MS 39520 | 2007-07-02 |
| 1043437684 | The Beach Surgical Group | Clinic/Center | 952 Green Meadow Rd., Bay St Louis, MS 39520 | 2007-04-18 |
| Find all providers in zip 39520 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538583133 | Ochsner Clinic LLC | General Practice | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260329 | Good Shepard LLC | General Practice | 632 Lakeland East Dr, Flowood, MS 39232-9565 | 2020-09-16 |
| 1518500677 | Nettleton Medical Express Care LLC | General Practice | 7230 Highway 45 N Ste B, 32610 Hwy 45 N, Nettleton, MS 38858 | 2019-10-22 |
| 1780241729 | Southeast Reginald Solutions,pllc | General Practice | 310 River Forest Ln, Brandon, MS 39047-7020 | 2019-05-24 |
| 1235601907 | William Carey University | General Practice | 710 William Carey Pkwy, Hattiesburg, MS 39401-7842 | 2018-12-19 |
| 1770050908 | Thompson Medical Service, LLC | General Practice | 1200 Hwy 15 North, Blue Mountain, MS 38610 | 2018-10-25 |
| 1790265932 | Antonio Reyes Del Castillo Jr. | General Practice | 590 Parchman Road 12, Parchman, MS 38738-3001 | 2018-08-16 |
| 1700397239 | Marysol Camejo Romero | General Practice | 728 Benwick Dr, Brandon, MS 39047-8111 | 2017-10-24 |
| 1013431519 | Madena Jane Gibson | General Practice | 1695 Moses Rd, Raymond, MS 39154-8766 | 2017-07-27 |
| 1942740188 | Personalized Wellness | General Practice | 573 Highway 51 Ste D, Ridgeland, MS 39157-2605 | 2017-03-07 |
| 1366991523 | Jackson State University | General Practice | 1400 Jr Lynch St, Jackson, MS 39217-0002 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
| City | BAY ST LOUIS |
| Zip Code | 39520 |
Please comment or provide details below to improve the information on DR. MATTHEW PETER 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.