NPI 1265794861 · live from the CMS NPI Registry
David J Brenneman, M.D.
Anesthesiology in Louisville, KY. National Provider Identifier 1265794861, active.
NPI record
| NPI | 1265794861 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3812 Taylorsville Rd, Louisville, KY 40220 |
| Practice phone | 502-451-9949 |
| Mailing address | 3100 Spring Forest Rd Ste 130, Raleigh, NC 27616 |
| Enumerated | June 11, 2012 |
| Last updated | May 19, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 2017-01339 (NC) |
| Anesthesiology | 207L00000X | ME127465 (FL) |
| Anesthesiology primary | 207L00000X | 51808 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.