MARK BRENNER (NPI# 1750390456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750390456 |
| Entity Type | Individual |
| Full Name | MARK BRENNER |
| Credential | DO |
| Practice Address |
2946 E Banner Gateway Drive Gilbert AZ 85234 |
| Mailing Address |
2940 E. Banner Gateway Drive Suite #450 Gilbert AZ 85234 |
| Practice Telephone | 4802566444 |
| Practice Fax Number | 4802564734 |
| Mailing Telephone | 4802566444 |
| Mailing Fax Number | 4802564734 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2207 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AETNA | 4316747 | 01 |
| AZ | BLUECROSSBLUESHIELDAZ | AZ0063470 | 01 |
| AZ | 258914 | 05 | |
| AZ | HEALTHNET | 1Z0539 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386797355 | Mark Jeffery Brenner | Social Worker | 1 Nathaniel Way, Canton, MA 02021-3852 | 2007-01-20 |
| 1902873409 | Mark J Brenner | Radiology | 20 Washington Sq, Worcester, MA 01604-4013 | 2006-03-02 |
| 1558764365 | Mark Brenner | Physical Therapist | 736 Broadway, Physical Therapy, Fargo, ND 58102-1031 | 2014-10-07 |
| 1750532388 | Mark Brenner | Physical Therapist | 7000 W Camino Real, Suite 240, Boca Raton, FL 33433-5532 | 2008-10-01 |
| 1013092162 | Mark Anthony Brenner | Chiropractor | 2380 Troop Drive, Suite 201, Sartell, MN 56377-4637 | 2006-10-26 |
| 1184631335 | Mark Earl Brenner | Orthopaedic Surgery | 5 Firstvillage Drive, Pinehurst, NC 28374 | 2006-08-01 |
| Street Address |
2946 E BANNER GATEWAY DRIVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386685915 | Sandra Gail Kline | Nurse Practitioner | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2006-06-08 |
| 1114558491 | Colby Rhel Horton | Physician Assistant | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2020-01-27 |
| 1518458694 | Sharon Martin | Nurse Practitioner | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-05-23 |
| 1801324223 | Danielle Rae Fischer | Physician Assistant | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2017-05-30 |
| 1902284599 | Robert Michael Ellis | Nurse Practitioner | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2015-05-14 |
| 1104103555 | Banner Gateway Medical Center | Durable Medical Equipment & Medical Supplies | 2946 E Banner Gateway Drive, Rm 2008, Gilbert, AZ 85234 | 2011-11-14 |
| 1518253152 | Banner Cancer Center Specialists LLC | Clinic/Center | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2011-06-22 |
| 1285943654 | Katrina Armida Cardenas Gaines | Physician Assistant | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831367788 | Gideon David Richards | Urology | 2730 S Val Vista Dr Ste 177, Gilbert, AZ 85295-1683 | 2008-02-13 |
| 1134319981 | Southwest Urologic Specialists, PC | Urology | 6007 E. Baseline Road, #105, Gilbert, AZ 85234-5044 | 2007-07-27 |
| 1144231895 | Arizona State Urological Institute LLC | Urology | 2730 S Val Vista Dr Building 13, Ste 177, Gilbert, AZ 85295-1683 | 2006-08-10 |
| 1427038199 | Barry M Krumholz | Urology | 690 E Warner Rd Bldg 5, Gilbert, AZ 85296-3054 | 2006-01-19 |
| 1568730018 | Integrated Health Care Providers, Inc. | Urology | 202 Larry Joe Harless Drive, Gilbert, WV 25621 | 2011-12-12 |
| 1740578632 | Joseph L Hsu | Urology | 2730 S Val Vista Dr, Bldg. # 13 Ste. # 177, Gilbert, AZ 85295-1675 | 2011-07-13 |
| 1780995670 | Casey Brant Lythgoe | Urology | 2730 S Val Vista Dr Ste 177, Gilbert, AZ 85295-1683 | 2010-06-25 |
| 1750520771 | Namir J Shaba | Urology | 1501 N Gilbert Rd, Suite 204, Gilbert, AZ 85234-2390 | 2009-02-14 |
| 1164637054 | Joseph W. Mashni Jr. | Urology | 2646 E. Banner Gateway Drive, Gilbert, AZ 85234-2165 | 2007-05-14 |
| 1568564649 | Subbarao V Cherukuri | Urology | 2730 S Val Vista Dr, Bldg.#13, Suite 177, Gilbert, AZ 85295-1675 | 2006-09-01 |
| Find all providers in GILBERT | ||||
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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.