DR. SIRISHA BRENNAN (NPI# 1659398477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659398477 |
Entity Type | Individual |
Full Name | DR. SIRISHA BRENNAN |
Other Name | SIRISHA NERALLA |
Credential | M.D. |
Practice Address |
10128 W Broad St Suite J Glen Allen VA 23060-6761 |
Practice Telephone | 8049554852 |
Practice Fax Number | 8553929700 |
Mailing Telephone | 8049554852 |
Mailing Fax Number | 8553929700 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2017-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 0101242464 | VA | Allopathic & Osteopathic Physicians |
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
0101242464 | VA | Allopathic & Osteopathic Physicians |
Street Address |
10128 W BROAD ST SUITE J |
City | GLEN ALLEN |
State | VA |
Zip Code | 23060-6761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477588986 | Tidewater Physical Therapy, LLC | Occupational Therapist | 10128 W Broad St, Forum Building IIi, Suite K, Glen Allen, VA 23060-6761 | 2006-07-12 |
1891343513 | Anne Kim | Physical Therapist | 10128 W Broad St, Bldg 3, Ste K, Glen Allen, VA 23060 | 2019-08-27 |
1831548189 | Delanie Letard | Physical Therapist | 10128 W Broad St, Forum Bldg IIi, Suite K, Glen Allen, VA 23060-6761 | 2016-06-08 |
1699181669 | Platinum Pathology, Pllc | Clinical Medical Laboratory | 10128 W Broad St, Suite H, Glen Allen, VA 23060-6761 | 2014-07-10 |
1851645543 | Justin K Williams | Physical Therapist | 10128 W Broad St, Forum Building IIi, Suite K, Glen Allen, VA 23060-6761 | 2012-11-01 |
1497981161 | Matthew P Brennan | Physical Therapist | 10128 W Broad St, Forum Building IIi, Suite K, Glen Allen, VA 23060-6761 | 2009-06-08 |
1235394958 | William H Bowen | Physical Therapist | 10128 W Broad St, Forum Building IIi, Suite K, Glen Allen, VA 23060-6761 | 2008-07-22 |
1326167107 | Sherri Lee Rose | Nurse Practitioner | 10128 W Broad St, Suite J, Glen Allen, VA 23060-6761 | 2007-03-29 |
1003906793 | Gregory B Shasby | Physical Medicine & Rehabilitation | 10128 W Broad St, Forum Bldg IIi, Suite K, Glen Allen, VA 23060-6761 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
Find all providers in zip 23060 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 |
---|---|---|---|---|
1265899124 | Brennan Geriatric Medicine PC | Internal Medicine | 5717 Park Creste Dr, Glen Allen, VA 23059-2604 | 2016-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477068328 | Integrity Healthcare Corporation | Internal Medicine | 243 Mclaws Cir Ste 101, Williamsburg, VA 23185-5673 | 2017-12-13 |
1932526233 | Nova Health Care Management | Internal Medicine | 8181 Pasture Rose Ct, Lorton, VA 22079-2957 | 2014-03-25 |
1205250172 | Leesburg Internal Medicine and And Primary Care LLC | Internal Medicine | 20093 Whistling Straits Pl, Ashburn, VA 20147-3196 | 2014-02-12 |
1487090833 | Elise Antoinette Sideris | Internal Medicine | 1201 Broad Rock Blvd # 181, Richmond, VA 23224-4915 | 2013-05-13 |
1508125386 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 | 2012-05-14 |
1043512205 | James Thompson Medical, Pllc | Internal Medicine | 507 N 28th St, Richmond, VA 23223-7303 | 2010-11-21 |
1417257585 | Richmond Internists Pllc | Internal Medicine | 4311 Otterburn Rd, Moseley, VA 23120-1262 | 2010-10-23 |
1144464678 | Katherine L Coffey-vega | Internal Medicine | 490 Hillsdale Dr, Charlottesville, VA 22901-5731 | 2009-04-28 |
1518122126 | James T Saunders Md PC | Internal Medicine | 1500 Still Harbor Ln, Virginia Beach, VA 23464-7218 | 2008-07-23 |
1831301704 | Mary Elizabeth Simmers | Internal Medicine | 701 Gordon Ave, Richmond, VA 23224-7019 | 2007-05-04 |
Find all providers with the same taxonomy |
City | GLEN ALLEN |
Zip Code | 23060 |
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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.