DR. MARK J BRENNAN (NPI# 1225001746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225001746 |
| Entity Type | Individual |
| Full Name | DR. MARK J BRENNAN |
| Credential | MD |
| Practice Address |
43650 Garfield Rd Clinton Township MI 48038-7419 |
| Practice Telephone | 5862630820 |
| Practice Fax Number | 5862633819 |
| Mailing Telephone | 5862630820 |
| Mailing Fax Number | 5862633819 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
4301405324 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4815088 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 483223606 | 2488622301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598033136 | Mark Edward Brennan | Dentist | 882 Backbone Ct, Westminster, MD 21157-7745 | 2011-12-11 |
| 1609178458 | Mark Brennan | Pharmacist | 212 Elks Point Rd, Zephyr Cove, NV 89448-9800 | 2010-11-30 |
| 1326081357 | Mark D Brennan | Anesthesiology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2006-06-14 |
| 1174523443 | Mark Brennan | Surgery | 30 Harrison St, Ste 455, Johnson City, NY 13790-2161 | 2005-07-28 |
| Street Address |
43650 GARFIELD RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-7419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681409 | Assadollah A Mazhari | Specialist | 43650 Garfield Rd, Clinton Township, MI 48038-1120 | 2005-12-27 |
| 1912144627 | Jennifer Jo Rosochacki | Occupational Therapist | 43650 Garfield Rd, Suite 103, Clinton Township, MI 48038-1120 | 2009-01-16 |
| 1376552877 | Theresa Stephanine Jones | Physician Assistant | 43650 Garfield Rd, Clinton Township, MI 48038-1120 | 2006-08-05 |
| 1912944893 | Neurosurgery Group P.C. | Clinic/Center | 43650 Garfield Rd, Clinton Township, MI 48038-1120 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417071507 | Tony Boggess | Physical Medicine & Rehabilitation | 1310 S. Main Street, Ann Arbor, MI 48104 | 2007-03-16 |
| 1669984985 | Susan Athey | Physical Medicine & Rehabilitation | 1971 E Beltline Ave Ne, Grand Rapids, MI 49525-7045 | 2017-10-26 |
| 1962931261 | Total Pain Care and Rehabilitation, Plc | Physical Medicine & Rehabilitation | 20870 Mack Ave, Grosse Pointe Woods, MI 48236-1388 | 2017-06-08 |
| 1285922625 | John David Tegtmeier | Physical Medicine & Rehabilitation | 4660 S Hagadorn Rd Ste 520, East Lansing, MI 48823-6804 | 2011-07-19 |
| 1225290349 | Regents of The University of Michigan | Physical Medicine & Rehabilitation | 8001 Challis Rd, Brighton, MI 48116-7446 | 2008-06-30 |
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
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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.