GARY B BRENNAN (NPI# 1194818484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194818484 |
| Entity Type | Individual |
| Full Name | GARY B BRENNAN |
| Credential | M.D. |
| Practice Address |
23625 Commerce Park Dr Suite 204 Beachwood OH 44122 |
| Mailing Address |
2689 Struthmore Dr Lima OH 45806-1333 |
| Practice Telephone | 2162555700 |
| Mailing Telephone | 4199798267 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35086925 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
35-86925 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477891745 | Gary S. Brennan | Counselor | 362 Quaker Church Rd, Randolph, NJ 07869-1455 | 2013-01-22 |
| 1316155641 | Gary Leyton Brennan | Dentist | 7600 E Camelback Rd, Suite 2, Scottsdale, AZ 85251-2106 | 2007-05-18 |
| Street Address |
23625 COMMERCE PARK DR SUITE 204 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467620575 | Kimmie Bui | Radiology | 27030 Cedar Rd Apt 301, Beachwood, OH 44122-1119 | 2008-02-12 |
| 1275710295 | Dennis Patrick Lindfors | Radiology | 25875 Science Park Dr # Ac116, Beachwood, OH 44122-7304 | 2008-01-22 |
| 1316148455 | Abraham Ahmed | Radiology | 25875 Science Park Dr, Ac116, Beachwood, OH 44122-7304 | 2007-05-29 |
| 1710068879 | Gabriele Pedicelli | Radiology | 23625 Commerce Park, Suite 204, Beachwood, OH 44122-5845 | 2006-10-17 |
| 1669423331 | Stephen J Handler | Radiology | 23625 Commerce Park Ste 204, Beachwood, OH 44122-5845 | 2006-05-15 |
| 1497744734 | Anupinder S. Hazra | Radiology | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2005-10-19 |
| 1013914100 | Beatrix Dagmar Araiza | Radiology | 3700 Park East Dr, Suite 300, Beachwood, OH 44122-4399 | 2005-07-05 |
| 1518299957 | F&s Radiology PC | Radiology | 3700 Park East Dr, Suite 450, Beachwood, OH 44122-4305 | 2010-02-10 |
| 1710217245 | University Hospitals Medical Group, Inc. | Radiology | 3909 Orange Pl, Suite 1200, Beachwood, OH 44122-4478 | 2010-01-06 |
| 1972734481 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 3609 Park East Dr, Suite 101, Beachwood, OH 44122-4331 | 2009-07-31 |
| Find all providers in BEACHWOOD | ||||
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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.