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BRENNA MARY CANNON DO
NPI 1366295883
Student in an Organized Health Care Education/Training Program in Richmond, VA

Active since April 08, 2024PECOS Enrolled
1000 E BROAD ST, RICHMOND, VA 23219(804) 828-2467(804) 828-5775 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenna Mary Cannon Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENNA MARY CANNON DO (NPI 1366295883) is an individual student in an organized health care education/training program in Richmond, Virginia and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366295883
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRENNA MARY CANNONCredential: DO
Location Address1000 E BROAD STRichmond, VA 23219-1930
Mailing Address1200 E Broad St # 980257Richmond, VA 23298-5025
Phone(804) 828-2467
Fax(804) 828-5775
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 6, 2024
✔ NPI 1366295883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 E BROAD ST, Richmond, VA 23219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenna Mary Cannon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADIA RAZANI DMD
Dentist
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
KRISTIN STRUCK CPNP
Nurse Practitioner (Pediatrics)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
MRS. CARRIE SHREVE ENTSMINGER NP
Registered Nurse (Pediatrics)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 628-5848
BRITTANY ERIN STIEFEL
Pediatrics
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
LAUREN T. COBERT PNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-3500
DR. JORDAN LAWSON DNP, RN, CNL, NNP-BC
Nurse Practitioner (Neonatal)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 519-4300
SHELBY FOGLEMAN LCSW
Social Worker (Clinical)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-8356
DR. JEREMY RICHARD BROZYNA MD
Allergy & Immunology
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenna Cannon's NPI number?

The NPI number for Brenna Cannon is 1366295883. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Brenna Cannon located?

Brenna Cannon practices at 1000 E Broad St, Richmond, VA 23219. The listed phone number is (804) 828-2467.

What is Brenna Cannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brenna Cannon enrolled in Medicare?

Yes. Brenna Cannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenna Cannon was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.