DR. MICHAEL J. BRENNER (NPI# 1023146776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023146776 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J. BRENNER |
| Credential | MD |
| Practice Address |
19900 Haggerty Rd Suite 103 Livonia MI 48152-1054 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108-1633 |
| Practice Telephone | 7344327634 |
| Practice Fax Number | 7344327660 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2013-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301102509 | MI | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
4301102509 | MI | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
036-121585 | IL | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
036-121585 | IL | Allopathic & Osteopathic Physicians |
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
4301102509 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036121585 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699732909 | Michael B Brenner | Internal Medicine | Brigham and Women's Hospital Rheumatology Immunology &, Smith Bldg Rm 552, Boston, MA 02115 | 2006-04-28 |
| 1114992674 | Michael Brenner | Family Medicine | 3250 Plaza Dr, South Sioux City, NE 68776-3144 | 2006-02-20 |
| 1154893659 | Michael Brenner | Pharmacist | 33145 Temecula Pkwy, Temecula, CA 92592-9141 | 2018-12-20 |
| 1124472808 | Michael Alan Brenner | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2016-04-19 |
| 1730556598 | Michael Brenner | Counselor | 2307 W 6th St, Los Angeles, CA 90057-3119 | 2015-08-27 |
| 1659781441 | Michael Jon Brenner | Emergency Medicine | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2014-05-01 |
| 1831328137 | Michael Charles Brenner | Physician Assistant | 114 Brady Ct, Cary, NC 27511-4554 | 2009-07-08 |
| 1841222023 | Michael B Brenner | Ophthalmology | 3950 Long Beach Blvd, Suite #200, Long Beach, CA 90807-5411 | 2006-07-07 |
| 1679562581 | Michael Joseph Brenner | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2005-10-14 |
| Street Address |
19900 HAGGERTY RD SUITE 103 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366481541 | Gayle F. Adams | Physician Assistant | 19900 Haggerty Rd, Livonia, MI 48152-1054 | 2006-06-05 |
| 1316398894 | Kevin Edward Kimball | Audiologist | 19900 Haggerty Rd, Ste 111, Livonia, MI 48152 | 2016-06-27 |
| 1518385566 | Nathan David Cass | Otolaryngology | 19900 Haggerty Rd, Suite 111, Livonia, MI 48152-1054 | 2014-04-06 |
| 1457782450 | Regents of The University of Michigan - Ambulatory Ctr for Vein Trtmt | Physician Assistant | 19900 Haggerty Rd, Suite 105, Livonia, MI 48152-1054 | 2013-12-02 |
| 1528401676 | Amit Sharad Patel | Otolaryngology | 19900 Haggerty Rd, Suite 111, Livonia, MI 48152-1054 | 2013-04-09 |
| 1851648521 | Arvin George | Urology | 19900 Haggerty Rd, Suite 111, Livonia, MI 48152-1054 | 2012-08-12 |
| 1669738324 | Andrew William Joseph | Otolaryngology | 19900 Haggerty Rd, Suite 100, Livonia, MI 48152-1054 | 2012-04-07 |
| 1346529229 | Kristen Marie Kowalski | Audiologist | 19900 Haggerty Rd, Suite 111, Livonia, MI 48152 | 2011-08-10 |
| 1740598168 | Christina Maria Ashrafioun | Audiologist | 19900 Haggerty Rd, Ste 111, Livonia, MI 48152 | 2010-09-20 |
| 1700199171 | Michael Brandt | Otolaryngology | 19900 Haggerty Rd, Suite 103, Livonia, MI 48152-1054 | 2010-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518385566 | Nathan David Cass | Otolaryngology | 19900 Haggerty Rd, Suite 111, Livonia, MI 48152-1054 | 2014-04-06 |
| 1528401676 | Amit Sharad Patel | Otolaryngology | 19900 Haggerty Rd, Suite 111, Livonia, MI 48152-1054 | 2013-04-09 |
| 1669738324 | Andrew William Joseph | Otolaryngology | 19900 Haggerty Rd, Suite 100, Livonia, MI 48152-1054 | 2012-04-07 |
| 1700199171 | Michael Brandt | Otolaryngology | 19900 Haggerty Rd, Suite 103, Livonia, MI 48152-1054 | 2010-07-14 |
| 1609005511 | Jamil Asaria | Otolaryngology | 19900 Haggerty Rd, Suite 103, Livonia, MI 48152-1054 | 2009-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.