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NPI Code Detail

MEDICARE: JAMES FRANCIS BRENNAN MD

MEDICARE: JAMES FRANCIS BRENNAN MD
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
1208800000XUrology Physician18586AZ
2208800000XUrology PhysicianDR0029357CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942238704
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES FRANCIS BRENNAN MD
Provider Business Mailing Address
First Line : 3000 Q ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-7058
Country : US
Telephone Number : 916-733-3310
Fax Number : 916-733-5378
Provider Business Practice Location Address
First Line : 768 MOUNTAIN RANCH RD
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-9707
Country : US
Telephone Number : 209-754-2602
Fax Number : 209-754-2602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 01/21/2022

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