MEDICARE: BRENNAN CHIROPRACTIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor

General Provider Information

NPI Number	:	1609722321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRENNAN CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	5700 J ST STE A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3956
Country	:	US
Telephone Number	:	916-476-6481
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 J ST STE A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3956
Country	:	US
Telephone Number	:	916-476-6481
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLES BRENNAN
Credential	:	DC
Telephone Number	:	707-208-0646

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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