BRENNAN MEDICAL CORPORATION
NPI 1619263712
Internal Medicine - Cardiovascular Disease in Watsonville, CA

Active since June 27, 2011
30 BRENNAN ST, WATSONVILLE, CA 95076(831) 768-0220 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brennan Medical Corporation NPPES

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

BRENNAN MEDICAL CORPORATION (NPI 1619263712) is a healthcare organization registered as a cardiovascular disease in Watsonville, California and active in the NPI registry since June 2011. The organization lists Mark Gerard Byrne, President, as its authorized official.

NPPES Registry Identity

NPI1619263712
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBRENNAN MEDICAL CORPORATION
Location Address30 BRENNAN STWatsonville, CA 95076-4303
Mailing Address30 Brennan StWatsonville, CA 95076-4303 · (831) 768-0220
Organization SubpartNo
Authorized OfficialMark Gerard ByrnePresident · (831) 768-0220
Enumeration DateJune 27, 2011
✔ NPI 1619263712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
30 BRENNAN ST, Watsonville, CA 95076

Other Identifiers 1

Medicaid00G743880CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brennan Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110712000510Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Brennan Medical Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1427067768
30 BRENNAN ST
Watsonville, CA 95076
(831) 768-0220
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1962411272
30 BRENNAN ST
Watsonville, CA 95076
(831) 768-0220
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brennan Medical Corporation's NPI number?

The NPI number for Brennan Medical Corporation is 1619263712. It was assigned to this organization in the NPPES registry on June 27, 2011.

Where is Brennan Medical Corporation located?

Brennan Medical Corporation is located at 30 Brennan St, Watsonville, CA 95076. The listed phone number is (831) 768-0220.

What is Brennan Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Brennan Medical Corporation enrolled in Medicare?

Yes. Brennan Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Brennan Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Brennan Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Brennan Medical Corporation, in Cardiovascular Disease (Cardiology) and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brennan Medical Corporation was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.