JEREMY L. BRENNEMAN (M.D.) – Emergency Medicine Physician, NPI 1861924458

JEREMY L. BRENNEMAN (M.D.) is a healthcare provider. based in Nellis afb, Nevada. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101266326 (VA). The NPI Number for JEREMY L. BRENNEMAN (M.D.) is 1861924458

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY L. BRENNEMAN (M.D.)
NPI
1861924458
Phone
(702) 653-2344
Address
4700 LAS VEGAS BLVD N
Enumeration Date
1 April 2017
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
7757385151
Graduation Year
2017 (9 years ago)
PAC ID
5294004305
Group Practice PAC ID
6901883438
Professional Enrollment ID
I20210819003051
Address ID
NV898018333EL2001XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

520 EMERGENCY MEDICINE in NV

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Provider Addresses for JEREMY L. BRENNEMAN (M.D.)

  • Mike O'Callaghan Military Medical Center, 4700, Las Vegas Boulevard North, Clark County, Nevada, 89191, United States

    NELLIS AFB, NV 891916600

    Phone: (702) 653-2344

    Type: Mailing

  • 1060 W PERIMETER RD

    JB ANDREWS, MD 207626602

    Phone: (240) 857-2333

    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: 2024-10-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210819003051IEmergency MedicineNVTBD
I20241022000641IEmergency MedicineMDTBD

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
99285Emergency department visit with high level of medical decision making4745$0
99284Emergency department visit with moderate level of medical decision making2828$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 89191)

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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: 6901883438View full group profile
NameSpecialtyState
Emergency MedicineNM
Emergency MedicineNV
-NV
Emergency MedicineNV
-SC
Nurse PractitionerNV
Emergency MedicineNV
Emergency MedicineNV
Emergency MedicineUT
Emergency MedicineNV

Reviews

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Frequently asked questions

What unique ID ties claims to JEREMY L. BRENNEMAN (M.D.)?
NPI 1861924458 is assigned to JEREMY L. BRENNEMAN (M.D.) under the national enumeration system.
Does this profile mean JEREMY L. BRENNEMAN (M.D.) is currently active?
Yes — JEREMY L. BRENNEMAN (M.D.) appears active in the national provider directory.
What field does JEREMY L. BRENNEMAN (M.D.) work in?
You can think of JEREMY L. BRENNEMAN (M.D.) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for JEREMY L. BRENNEMAN (M.D.)?
We surface Nellis Afb, Nevada for JEREMY L. BRENNEMAN (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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