CAROL B BRENNAN PA-C NPI 1003895426

NPI Information

NPI: 1003895426
Provider Name: CAROL B BRENNAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
475 S DOBSON RD
CHANDLER, AZ
ZIP 85224
Phone: (480) 728-3753
Get Directions

Carol B Brennan, PA-C is a medical physician assistant in Chandler, AZ. Carol B Brennan, PA-C NPI is 1003895426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

475 S DOBSON RD
CHANDLER, AZ
ZIP 85224-605
Phone: (480) 728-3753
Fax: (480) 728-3305

The enumeration date for this NPI number is 1/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	2251	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	909228	MEDICAID	ARIZONA
2	P60146	MEDICARE UPIN	ARIZONA
3	100694	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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