NPI 1982749644 · live from the CMS NPI Registry
Christopher M Brennan, MD, Phd
Radiology, Diagnostic Radiology in Burlington, VT. National Provider Identifier 1982749644, active.
NPI record
| NPI | 1982749644 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-3593 |
| Mailing address | 1 Atwell Rd, Cooperstown, NY 13326 |
| Enumerated | February 20, 2007 |
| Last updated | August 26, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 221070 (MA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 0101249547 (VA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 264576 (NY) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042-0016117 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.