DR. RONALD BRENNAN (NPI# 1548360357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548360357 |
| Entity Type | Individual |
| Full Name | DR. RONALD BRENNAN |
| Credential | M.D. |
| Practice Address |
2401 E 42nd Ave Suite 306 Anchorage AK 99508-5205 |
| Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
| Practice Telephone | 9075629212 |
| Practice Fax Number | 9075622409 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
2915 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | RAILROAD MEDICARE PIN | F50828 | 01 |
| AK | 1007270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003880303 | Ronald P Brennan | Radiology | 110 N Main St, Greenville, PA 16125-1726 | 2006-02-14 |
| Street Address |
2401 E 42ND AVE SUITE 306 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114998473 | Jayne S Fortson, Md | Dermatology | 2401 E 42nd Ave, Ste 301, Anchorage, AK 99508-5205 | 2006-01-26 |
| 1578128633 | Sara L. Buckingham | Psychologist | 2401 E 42nd Ave, Ste 306, Anchorage, AK 99508-5228 | 2019-05-04 |
| 1609226000 | Bernadette Baluyut | Registered Nurse | 2401 E 42nd Ave, Suite 102, Anchorage, AK 99508-5228 | 2016-06-16 |
| 1174997282 | D&w Rehab, Inc. | Occupational Therapist | 2401 E 42nd Ave, #205, Anchorage, AK 99508-5228 | 2015-12-01 |
| 1720497993 | Sound Decisions Audiology LLC | Clinic/Center | 2401 E 42nd Ave, Suite 101, Anchorage, AK 99508-5228 | 2014-08-12 |
| 1164769204 | Pediatric Neurology Clinic of Alaska, P.C. | Clinic/Center | 2401 E 42nd Ave, Suite 306, Anchorage, AK 99508-5228 | 2013-01-09 |
| 1376887026 | Chinook Family Dentistry | Dentist | 2401 E 42nd Ave, Suite 201, Anchorage, AK 99508-5228 | 2012-11-19 |
| 1902186216 | Lindstrom Dental | Clinic/Center | 2401 E 42nd Ave, Suite #201, Anchorage, AK 99508-5228 | 2011-08-18 |
| 1295054435 | Taylor Greenhalgh | Speech-Language Pathologist | 2401 E 42nd Ave, #101, Anchorage, AK 99508-5228 | 2010-05-27 |
| 1790003184 | Lynsey Dawn Lindstrom | Dentist | 2401 E 42nd Ave, Suite 201, Anchorage, AK 99508-5228 | 2010-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 2084P0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate for NDN was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Ongoing early discussions regarding proposal. |
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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.