MAURA J BRENNAN (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1962595421

MAURA J BRENNAN (MD) is a healthcare provider. based in Springfield, Massachusetts. specializing in GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 73468 (MA). The NPI Number for MAURA J BRENNAN (MD) is 1962595421

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MAURA J BRENNAN (MD)
NPI
1962595421
Phone
(413) 794-5700
Address
280 CHESTNUT STREET
Enumeration Date
2 October 2006
Last Update Date
19 January 2018

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4137948121
Graduation Year
1989 (37 years ago)
PAC ID
8628012994
Group Practice PAC ID
5991602971
Professional Enrollment ID
I20050616001174
Address ID
MA011071619SP759XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

223 GERIATRIC MEDICINE in MA

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Provider Addresses for MAURA J BRENNAN (MD)

  • 280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States

    2ND FLOOR

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-5700

    Type: Mailing

  • Baystate Medical Center, 759, Chestnut Street, North End, Springfield, Hampden County, Massachusetts, 01199, United States

    SPRINGFIELD, MA 011071619

    Phone: (413) 794-3147

    Fax: (413) 794-4054

    Type: Location

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: 2005-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050616001174IGeriatric MedicineMATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes2816$0
View full utilization report →

Insurance plans in this area (ZIP 01199)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991602971View full group profile

Reviews

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Frequently asked questions

Does MAURA J BRENNAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MAURA J BRENNAN (MD) uses 1962595421.
Is MAURA J BRENNAN (MD) still practicing?
MAURA J BRENNAN (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes MAURA J BRENNAN (MD)?
For research purposes, treat MAURA J BRENNAN (MD) as Geriatric Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MAURA J BRENNAN (MD) based?
MAURA J BRENNAN (MD) is tied to Springfield, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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