DR. MATTHEW BRENNECKE (NPI# 1265837744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265837744 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BRENNECKE |
| Credential | N.D. |
| Practice Address |
1121 W Prospect Rd Suite B Fort Collins CO 80526-5623 |
| Mailing Address |
3501 Patterson Ct Fort Collins CO 80526-4254 |
| Practice Telephone | 9702941977 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 0000087 | CO | Other Service Providers |
| Street Address |
1121 W PROSPECT RD SUITE B |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-5623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316278849 | Chad Anonson | Chiropractor | 1121 W Prospect Rd, Suite B, Fort Collins, CO 80526-5623 | 2010-01-22 |
| 1619401304 | Rebecca Pendleton | Massage Therapist | 1121 W Prospect Rd, Suite B, Fort Collins, CO 80526-5623 | 2017-04-19 |
| 1275906380 | Shawna Pehrson | Massage Therapist | 1121 W Prospect Rd, Suite B, Fort Collins, CO 80526-5623 | 2015-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645383 | Sarah Kashdan | Naturopath | 1030 Centre Ave Ste B3, Fort Collins, CO 80526-1849 | 2020-10-02 |
| 1982009338 | Joan Delyse Waters | Naturopath | 3950 Jfk Pkwy, #2, Fort Collins, CO 80525-3073 | 2014-10-28 |
| 1962644831 | Holly Ivalon German | Naturopath | 313 W Drake Rd Ste 210, Fort Collins, CO 80526 | 2009-03-24 |
| 1629194675 | Michael Sutton | Naturopath | 2900 S College Ave Ste 3a, Fort Collins, CO 80525-2562 | 2007-03-21 |
| 1477910024 | Nicole Lewis | Naturopath | 2620 E Prospect Rd Ste 190, Fort Collins, CO 80525-9098 | 2016-01-26 |
| 1093059560 | Donna Weidmann Walter | Naturopath | 123 N College Ave, Ste. 200, Fort Collins, CO 80524-4427 | 2012-11-21 |
| 1003142589 | Steven P Rondeau | Naturopath | 2620 E Prospect Rd, Suite# 190, Fort Collins, CO 80525-9098 | 2009-10-19 |
| 1386970861 | Mary F Rondeau | Naturopath | 2620 E Prospect Rd, Suite 190, Fort Collins, CO 80525-9098 | 2009-10-19 |
| 1598969685 | Lorraine Caron | Naturopath | 3113 S Taft Hill Rd, Fort Collins, CO 80526-2143 | 2007-06-12 |
| 1578624052 | Jason Elliott Barker | Naturopath | 1103 Oak Park Dr, Fort Collins, CO 80525-6273 | 2006-12-12 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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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.