Individual
EDMUND J BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28201
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
28201
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
65654
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060057219
RAILROAD MEDICARE
AZ
01
—
1Z5173
HEALTHNET
AZ
01
—
2500514
UNITED HEALTHCARE
AZ
05
—
500711
—
AZ
01
—
AZ0863440
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/28/2005
Last updated
04/25/2018
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