Provider Demographics
NPI:1336167741
Name:BRENNAN, JAMES F (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:BRENNAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2500 POCOSHOCK PL
Mailing Address - Street 2:SUITE 302
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6345
Mailing Address - Country:US
Mailing Address - Phone:804-674-1985
Mailing Address - Fax:804-276-1048
Practice Address - Street 1:2500 POCOSHOCK PL
Practice Address - Street 2:SUITE 302
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-6345
Practice Address - Country:US
Practice Address - Phone:804-674-1985
Practice Address - Fax:804-276-1048
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010287842080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10011532OtherOPTIMA HEALTHCARE
VA267336OtherANTHEM
VA267336OtherANTHEM