Dr. Bryan W Fennelly, MD
Psychiatry & Neurology, Psychiatry in Madison, New Jersey
1669588406- Practice location
- 8 Shunpike RD, Suite 9, Madison, NJ 07940-2740
- Phone
- 973-660-0084
- Fax
- 973-966-0332
- Last updated
- January 12, 2010
Bryan William Fennelly is a Psychiatry & Neurology, Psychiatry based in Madison, NJ. Bryan William Fennelly practices in Madison, NJ and has the professional credentials of MD. The NPI Number for Bryan William Fennelly is 1669588406 and holds a License No. 25MA06022900 (NJ). The current practice location address for Bryan William Fennelly is 8 Shunpike RD, Suite 9, Madison, NJ 07940-2740 and can be reached out via phone at 973-660-0084 and via fax at 973-966-0332.
Provider Profile Details
- NPI Number
- 1669588406
- Provider Name
- Bryan William Fennelly
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 8 Shunpike RD, Suite 9, Madison, NJ 07940-2740
- Phone Number
- 973-660-0084
- Fax Number
- 973-966-0332
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 22, 2006
- Last Update Date
- January 12, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8 Shunpike RD
Suite 9
Madison, NJ 07940-2740 - City
- Madison
- State
- New Jersey
- Zip
- 07940-2740
- Phone Number
- 973-660-0084
- Fax Number
- 973-966-0332
Provider Business Mailing Address Details
- Address
- 8 Shunpike RD
Suite 9
Madison, NJ 07940-2740 - City
- Madison
- State
- NJ
- Zip
- 07940-2740
- Phone Number
- 973-660-0084
- Fax Number
- 973-966-0332
License Information
- License Number (1)
- 25MA06022900
- License State (1)
- NJ
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
- License Number (2)
- 25MA06022900
- License State (2)
- NJ
- Taxonomy (2)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Bryan W Fennelly, MD?
The NPI number of Dr. Bryan W Fennelly, MD is 1669588406. It was assigned on August 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Bryan W Fennelly, MD?
Dr. Bryan W Fennelly, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 25MA06022900.
Where does Dr. Bryan W Fennelly, MD practice?
The practice location is 8 Shunpike RD, Suite 9, Madison, NJ 07940-2740. The office can be reached at 973-660-0084 (phone) or 973-966-0332 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669588406 directly on the NPPES registry website.