ANGELO BRENNAN – Emergency Medicine Physician, NPI 1306475199
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
839 EMERGENCY MEDICINE in CT
Provider Addresses for ANGELO BRENNAN
201 Chestnut Hill Rd
Stafford Springs, CT 060764005
Phone: (860) 684-4251
Type: Location
56 Franklin St
Waterbury, CT 067061253
Phone: (203) 709-6004
Type: Location
271 Carew St
Springfield, MA 011042377
Phone: (413) 748-9670
Type: Location
200 MULLINS DR
LEBANON, OR 973553983
Phone: (541) 259-0235
Type: Mailing
231 ASHLEY ST
HARTFORD, CT 06105
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250715001943 | I | Emergency Medicine | CT | TBD |
| I20250724000684 | I | Emergency Medicine | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06076)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Emergency Medicine | MA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | MA | |
| Emergency Medicine | IL | |
| Emergency Medicine | MI | |
| Emergency Medicine | NY | |
| Emergency Medicine | MA | |
| Emergency Medicine | PA | |
| Emergency Medicine | FL |
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