NPI 1437254075 · live from the CMS NPI Registry
Robert A Brenner, M.D.
Internal Medicine, Gastroenterology in Everett, WA. National Provider Identifier 1437254075, active.
NPI record
| NPI | 1437254075 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 3927 Rucker Ave, Everett, WA 98201 |
| Practice phone | 425-339-5421 |
| Mailing address | Po Box 5127, Everett, WA 98206 |
| Enumerated | September 14, 2006 |
| Last updated | December 8, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD60625350 (WA) |
| Internal Medicine, Gastroenterology | 207RG0100X | Q3152 (TX) |
| Internal Medicine, Gastroenterology | 207RG0100X | G51139 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.