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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699726125 NPPES
Other 005000261W HUMANA
MEDICAID 34210200 HUMANA

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