MARK BRENNAN DO – NPI #1174523443
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
MARK BRENNAN is a surgeon located in JOHNSON CITY, NY. NPPES has assigned the NPI number 1174523443 to MARK BRENNAN on July 28, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 12 years ago on Sep 15, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK BRENNAN below.
NPI Profile for
MARK BRENNAN
(about 21 years ago)
STE 455
JOHNSON CITY, NY 13790-2161 Phone: (607) 763-8100 Fax: (607) 763-8048
UNITED MEDICAL ASSOCIATES, PC
JOHNSON CITY, NY 13790-2558 Phone: (607) 763-8100 Fax: (607) 729-8866
Identifiers for MARK BRENNAN
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NY | 02082319 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
NY | 217717 |
| 208600000X - Surgery |
NY | 217717 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
MARK BRENNAN is affiliated with the following medical group(s):
- HOSPITAL
- CHENANGO MEMORIAL HOSPITAL179 NORTH BROAD STREET
NORWICH, NY 13815 - UNITED HEALTH SERVICES HOSPITALS, INC10-42 MITCHELL AVENUE
BINGHAMTON, NY 13903
- CHENANGO MEMORIAL HOSPITAL179 NORTH BROAD STREET
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