Brenner, Bruce M
Brenner, Bruce M is an individual health care provider with primary practice located at 701 Nw 13Th St , Boca Raton FL 33486-2305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Brenner, Bruce M can be contacted via phone (619) 955-5966.Contact Information
Primary practice address
701 Nw 13Th St
Boca Raton FL 33486-2305
Phone: (619) 955-5966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | ME133095 | Florida |
Profile Details
| NPI number | 1699726125 |
|---|---|
| LBN Legal business name | Brenner, Bruce M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jun 28th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699726125 | NPPES |
| Other | 005000261W | HUMANA | |
| MEDICAID | 34210200 | HUMANA |
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