BRENNEN D SMITH (NPI# 1376753277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376753277 |
| Entity Type | Individual |
| Full Name | BRENNEN D SMITH |
| Credential | DO |
| Practice Address |
2400 St Francis Dr Breckenridge MN 56520-1025 |
| Mailing Address |
4784 Amber Valley Pkwy S Chi Provider Enrollment - Fargo Divison Fargo ND 58104-8614 |
| Practice Telephone | 2186433000 |
| Practice Fax Number | 2186430850 |
| Mailing Telephone | 7012378072 |
| Mailing Fax Number | 9375991730 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 15379 | ND | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
61204 | MN | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
34.010178 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1471472 | 05 | |
| WV | 3810022462 | 05 | |
| OH | 3158630 | 05 | |
| OH | OH MEDICAID UNISON | 000000480404 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726336 | Brennen Smith | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2020-09-30 |
| Street Address |
2400 ST FRANCIS DR |
| City | BRECKENRIDGE |
| State | MN |
| Zip Code | 56520-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588600928 | Robert C Eelkema | Emergency Medicine | 2400 St Francis Dr, Breckenridge, MN 56520 | 2006-06-22 |
| 1306455431 | Laura Suggs | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2020-07-24 |
| 1417584178 | Sarah Lansing | Physical Therapist | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2020-03-24 |
| 1649745159 | Bridget Ann Richardson | Physical Therapist | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2018-10-11 |
| 1821532862 | Michael Brooks | Physical Therapist | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2016-12-09 |
| 1396109211 | Rhonda Carroll | Counselor | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2016-04-06 |
| 1851774905 | Jessica Wirth | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2015-07-08 |
| 1871970855 | Corey Stump | Nurse Anesthetist, Certified Registered | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2015-04-29 |
| 1447690458 | Breanna Lynn Paulson | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2013-07-05 |
| 1316386527 | St. Francis Health Care | General Acute Care Hospital | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831311349 | Carrie Marie Voightman | Occupational Therapist | 1110 Hwy 75, Suite A, Breckenridge, MN 56520 | 2007-05-03 |
| 1063542371 | Jan E Ketterling | Psychologist | 2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, MN 56520 | 2007-03-06 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1699859942 | Gerald Dale Brudvik | Dentist | 430 Oak St., Breckenridge, MN 56520 | 2006-10-24 |
| 1881794642 | Pamela Jean Thompson | Social Worker | 415 1/2 Nebraska Ave., Breckenridge, MN 56520 | 2006-09-22 |
| 1639162381 | St. Francis Medical Center | General Acute Care Hospital | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2005-08-29 |
| 1194158899 | Randi Jo Resler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2013-08-16 |
| 1194158006 | Jennifer L Schalekamp | Physical Therapist | 430 5th St N, Breckenridge, MN 56520 | 2013-08-14 |
| 1912220229 | Community Addiction Recovery Enterprises | Clinic/Center | 3850 200th Ave, Breckenridge, MN 56520 | 2010-03-02 |
| 1154521516 | Laurie Jo Ann Kessler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-07-23 |
| Find all providers in zip 56520 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863316 | John G. Stark M.d.p.a. | Orthopaedic Surgery | 825 Nicollet Mall Ste 715, Minneapolis, MN 55402-2613 | 2007-10-31 |
| 1740220466 | Thomas Vincent Rieser | Orthopaedic Surgery | 1950 Curve Crest Blvd W Ste 130, Stillwater, MN 55082-6062 | 2006-06-08 |
| 1598712788 | Glenn Robin Buttermann | Orthopaedic Surgery | 1835 County Road C W Ste 150, Roseville, MN 55113-1343 | 2006-05-31 |
| 1649220849 | Garry M Banks | Orthopaedic Surgery | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2006-05-11 |
| 1114989555 | Sunny S Kim | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2006-04-03 |
| 1023001815 | Ilbnc, P.a. | Orthopaedic Surgery | 3001 Metro Dr, Suite 330, Bloomington, MN 55425-4506 | 2005-08-26 |
| 1881690493 | Daniel W Hanson | Orthopaedic Surgery | 2780 Snelling Ave N Ste 310, Roseville, MN 55113-7125 | 2005-06-28 |
| 1336765098 | Inspired Spine Surgcenter LLC | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2020-06-18 |
| 1427686575 | Sunny S. Kim, Md Pa | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2020-04-01 |
| 1205481041 | Sunny S. Kim, Md Pa | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 56520 |
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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.