WILLIAM MICHAEL BRENNAN (NPI# 1578100376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578100376 |
| Entity Type | Individual |
| Full Name | WILLIAM MICHAEL BRENNAN |
| Practice Address |
540 S Main St Lapeer MI 48446-2467 |
| Practice Telephone | 8106640391 |
| Practice Fax Number | 8106647079 |
| Mailing Telephone | 8106640391 |
| Mailing Fax Number | 8106647079 |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2019-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
5302027722 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 5302027722 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578784468 | William A. Brennan | Neurological Surgery | 4212 W Congress Street, Suite 3500, Lafayette, LA 70506-6765 | 2007-05-01 |
| 1497971386 | William J. Brennan | Dentist | 23 Father Jogues Pl, Suite1, Ticonderoga, NY 12883-1407 | 2007-04-18 |
| 1235142746 | William Michael Brennan Sr. | Dentist | 5133 Washington St, Downers Grove, IL 60515 | 2006-08-14 |
| 1346624822 | William Brennan | Social Worker | 75 N Mountain Rd, New Britain, CT 06053-3468 | 2015-07-15 |
| 1245370121 | William C. Brennan | Psychologist | 26 N Main St, Pennington, NJ 08534-2203 | 2007-02-08 |
| 1265501175 | William Michael Brennan Jr. | Dentist | 5133 Washington St, Suite 4, Downers Grove, IL 60515-4788 | 2006-11-06 |
| 1336231869 | William Moyer Brennan | Physician Assistant | 2732 N Alvernon Way, Tucson, AZ 85712-1804 | 2006-09-29 |
| 1013931823 | William Arthur Brennan | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2006-07-26 |
| 1225053978 | William Brennan | Specialist | 460 W 34th St, New York, NY 10001-2320 | 2006-07-13 |
| 1659319507 | William Patrick Brennan Jr. | Pharmacist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-06-03 |
| Street Address |
540 S MAIN ST |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962436709 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 540 S Main St, Lapeer, MI 48446-2467 | 2006-07-10 |
| 1851998173 | Rebekah Mahoney | Pharmacist | 540 S Main St, Lapeer, MI 48446-2467 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
| Find all providers in zip 48446 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083146070 | Casey Donovan | Specialist/Technologist | 1816 Rooster Trl, Lapeer, MI 48446-9342 | 2017-03-30 |
| 1154623932 | Kelley Quijano | Specialist/Technologist | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2010-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.