Patrick James Brennan, M.D.
Surgery in Neenah, WI. Individual provider (NPI-1).
NPI number1104876945
StatusActive
Last updated in NPPESMay 8, 2008
Details
- NPI
- 1104876945
- Entity type
- Individual (NPI-1)
- Name
- Patrick James Brennan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2006
- Last updated
- May 8, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 44570 | WI | Yes |
| 2086S0102X | Surgery, Surgical Critical Care | 44570 | WI | |
| 2086S0127X | Surgery, Trauma Surgery | 44570 | WI | |
| 2086S0129X | 44570 | WI | ||
| 208C00000X | Colon & Rectal Surgery | 44570 | WI |
Practice location
100 Theda Clark Medical PlzSuite 400
Neenah, WI 54956-2763
Phone 920-725-4527 · Fax 920-725-0991
Mailing address
100 Theda Clark Medical PlzSuite 400
Neenah, WI 54956-2763
Phone 920-725-4527 · Fax 920-725-0991
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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