TIMOTHY A BRENNAN (NPI# 1356421135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356421135 |
| Entity Type | Individual |
| Full Name | TIMOTHY A BRENNAN |
| Credential | MD |
| Practice Address |
29200 Harper Ave Saint Clair Shores MI 48081-1274 |
| Practice Telephone | 5867777577 |
| Practice Fax Number | 5867776841 |
| Mailing Telephone | 5867777577 |
| Mailing Fax Number | 5867776841 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
TB038759 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MCARE | C6897 | 01 | |
| MI | 2912752 | 05 | |
| COMML INS | 383022841 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730594250 | Timothy Brennan | Internal Medicine | 10 Center Drive Room 12c120 Msc 1899, Bethesda, MD 20892-5216 | 2014-06-23 |
| 1093944472 | Timothy James Brennan | Technician/Technologist | 235 Sw 152nd St, Burien, WA 98166-2307 | 2009-07-07 |
| 1689820474 | Timothy Koehler Brennan | Psychiatry & Neurology | 1000 10th Ave Fl 8, New York, NY 10019 | 2008-08-12 |
| 1699931444 | Timothy P Brennan | Counselor | 40 Flatbush Ave., Brooklyn, NY 11201 | 2008-07-31 |
| 1922069871 | Timothy Joseph Brennan | Chiropractor | 648 E Main Street, Annville, PA 17003 | 2006-03-30 |
| 1881990794 | Timothy James Brennan | Pharmacist | 200 N Green St, Morganton, NC 28655-3343 | 2011-02-10 |
| 1376556944 | Timothy Joseph Brennan | Family Medicine | 10561 Merritt St, Castroville, CA 95012-3310 | 2006-08-14 |
| 1174579510 | Timothy Brennan | Internal Medicine | 3301 Mercy Health Blvd Ste 125, Cincinnati, OH 45211-1106 | 2006-05-26 |
| 1225012164 | Timothy J. Brennan | Nurse Anesthetist, Certified Registered | 10500 Quivira Rd, Overland Park, KS 66215-2306 | 2005-12-05 |
| 1487641015 | Timothy J Brennan | Anesthesiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-29 |
| Street Address |
29200 HARPER AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255411039 | Amar Q Majjhoo | Internal Medicine | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 | 2006-10-16 |
| 1578113171 | Daric Alexander Mueller | Physician Assistant | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 | 2019-09-16 |
| 1720438401 | Rebecca Wideman | Nurse Practitioner | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 | 2016-06-14 |
| 1508946385 | Andrew J Sulich | Internal Medicine | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1255411039 | Amar Q Majjhoo | Internal Medicine | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 | 2006-10-16 |
| 1649490772 | Shores Rheumatology PC | Internal Medicine | 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 | 2007-04-30 |
| 1497975510 | Shores Rheumatology PC | Internal Medicine | 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 | 2007-04-30 |
| 1508085168 | Shores Rheumatology PC | Internal Medicine | 24100 Little Mack Ave, Saint Clair Shores, MI 48080-3247 | 2007-04-24 |
| 1508946385 | Andrew J Sulich | Internal Medicine | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on TIMOTHY A BRENNAN.
| 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.