BEVERLY A. BRENNAN (NPI# 1174519730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174519730 |
| Entity Type | Individual |
| Full Name | BEVERLY A. BRENNAN |
| Credential | M.D. |
| Practice Address |
600 Primrose St Haverhill MA 01830 |
| Mailing Address |
600 Primrose St Haverhill MA 01830-2659 |
| Practice Telephone | 9784697100 |
| Practice Fax Number | 9784697199 |
| Mailing Telephone | 9784697100 |
| Mailing Fax Number | 9784697199 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 206547 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NEIGHBORHOOD HEALTH PLAN | 0029557 | 01 | |
| MA | FALLON COMMUNITY HEALTH PLAN | 1174519730 | 01 |
| TUFTS HEALTH PLAN | 206547 | 01 | |
| MA | 110041739A | 05 | |
| MA | AETNA HMO | 1174519730 | 01 |
| MA | AETNA NON HMO | 5731408 | 01 |
| CIGNA | 7241783 | 01 | |
| NH | ANTHEM BLUE CROSS | G43721 | 01 |
| HEALTHSOURCE | 683113 | 01 | |
| RAILROAD MEDICARE | P00258103 | 01 | |
| EVERCARE | 04-09138 | 01 | |
| NETWORK HEALTH | 967080 | 01 | |
| MA | HARVARD PILGRIM HEALTH PL | 690835 | 01 |
| NV | NEW HAMPSHIRE MEDICAID | 30205508 | 01 |
| MA | BLUE CROSS BLUE SHIELD | J29478 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Parkway, Haverhill, MA 018306278 | 9785213250 | 9784695646 |
| Street Address |
600 PRIMROSE ST |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164712071 | Katelin Cornell Cashman | Physician Assistant | 600 Primrose St, Haverhill, MA 01830 | 2011-04-12 |
| 1316048739 | Marcia C Chatfield | Internal Medicine | 600 Primrose St, Haverhill, MA 01830 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
| Find all providers in zip 01830 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1568651693 | Kushranie Maharaj | Internal Medicine | 1064 1/2 Haverhill Rd N, Haverhill, FL 33417-5806 | 2007-10-15 |
| 1760589147 | Shiao-ang Shih | Internal Medicine | 62 Brown St Ste 501, Haverhill, MA 01830-6790 | 2006-09-20 |
| 1407965551 | Amy Foster Patterson | Internal Medicine | 233 Lincoln Ave, Haverhill, MA 01830-6738 | 2006-08-30 |
| 1902838436 | Ulrich Ehrig | Internal Medicine | Merrimack Valley Hospital, 140 Lincoln Ave., 3rd Floor, Haverhill, MA 01830 | 2006-07-07 |
| 1427092576 | Theodora Christopher | Internal Medicine | 1 Water St, Haverhill, MA 01830-6221 | 2006-06-16 |
| 1215925938 | David A Byrne | Internal Medicine | 62 Brown Street, Suite 200, Haverhill, MA 01830-6700 | 2005-10-06 |
| 1437150505 | Lydia Zuser | Internal Medicine | 62 Brown St, Suite # 304, Haverhill, MA 01830-6778 | 2005-08-10 |
| 1841295995 | Kirwan Thomas Macmillan | Internal Medicine | 140 Lincoln Ave, Haverhill, MA 01830-6700 | 2005-06-16 |
| 1043213812 | Margaret Mary Hunt | Internal Medicine | 145 Ward Hill Ave, Haverhill, MA 01835-6928 | 2005-05-24 |
| 1063930006 | Whittier Pavilion Inpatient Specialists Pllc | Internal Medicine | 76 Summer St, Haverhill, MA 01830-5814 | 2017-08-30 |
| Find all providers in HAVERHILL | ||||
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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.