JEFFREY BRENEISEN MD INC.


Address: 1261 Travis Blvd, Suite 200, Fairfield, CA 94533-4897
Phone: 7074264696

JEFFREY BRENEISEN MD INC. (NPI# 1851626394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851626394
Entity Type Organization
Organization Name JEFFREY BRENEISEN MD INC.
Practice Address 1261 Travis Blvd
Suite 200
Fairfield
CA 94533-4897
Mailing Address Po Box 127
Napa
CA 94559-0127
Practice Telephone 7074264696
Practice Fax Number 7074264767
Mailing Telephone 7072553300
Mailing Fax Number 7072553527
Enumeration Date 2009-10-15
Last Update Date 2009-10-15
Authorized Official Name DR. JEFFREY R. BRENEISEN (PRESIDENT)
Authorized Official Telephone 7074264696
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
G86677 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1261 TRAVIS BLVD
SUITE 200
City FAIRFIELD
State CA
Zip Code 94533-4897

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942285879 Rashid Iqbal Internal Medicine 1261 Travis Blvd, Ste 170, Fairfield, CA 94533-4897 2005-12-14
1205367141 Nalls Foundation Community/Behavioral Health 1261 Travis Blvd, Suite 240, Fairfield, CA 94533-4897 2017-03-22
1447585161 Milind Dhond Md Inc Internal Medicine 1261 Travis Blvd, Suite 200, Fairfield, CA 94533-4897 2009-10-14
1831358027 David F La Rochelle Md A Medical Corporation Orthopaedic Surgery 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 2008-06-03
1538368279 Margaret Smith La Rochelle Specialist 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 2007-07-13
1871705897 Cardiac and Vascular Specialists of Northern California, Inc. Internal Medicine 1261 Travis Blvd, Ste 200, Fairfield, CA 94533-4897 2007-05-03
1033230693 Lyubov Lupyan-teytelman Physician Assistant 1261 Travis Blvd, Suite 170, Fairfield, CA 94533-4825 2007-04-02
1558417824 David Foster La Rochelle Orthopaedic Surgery 1261 Travis Blvd, Suite 190, Fairfield, CA 94533-4897 2007-01-26
1003925926 Albert M Mitchell Psychiatry & Neurology 1261 Travis Blvd, Suite 170, Fairfield, CA 94533-4897 2006-08-30
1659487395 Matthew T Johnson Internal Medicine 1261 Travis Blvd, Ste 320, Fairfield, CA 94533-4897 2006-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609487347 Shayondelice Sledge Case Manager/Care Coordinator 3001 N. Texas St., #27, Fairfield, CA 94533 2020-08-16
1508401191 Tiffany Ann Garcia Social Worker 1301 Roman Way, Martinez, CA 94533 2019-11-07
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1821645383 Michelle Marie Hackett Marriage & Family Therapist 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 2019-08-20
1780154369 Maria Leonila Ramos Corpuz Behavior Technician 744 Empire Street Suite 160, Fairfield, CA 94533 2018-11-27
1629575303 Jeanne Ann Kiernan Dentist 690 Airman Dr, Apo, AA 94533 2018-04-10
1629596820 Max Kardos Student in an Organized Health Care Education/Training Program 801 Empire St., Fairfield, CA 94533 2017-09-07
1780119867 Justin Denhart Dickson Student in an Organized Health Care Education/Training Program 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 2017-04-26
1639613409 Behrooz Shafiezadeh Marriage & Family Therapist Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 2016-12-13
1427500164 Tanya Ayers Counselor 801 Empire Street, Fairfield, CA 94533 2016-10-28
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346249018 David G Babbitt Internal Medicine 3000 Mack Rd # 100, Fairfield, OH 45014-5335 2005-07-15
1972500676 Milind Dhond Internal Medicine 1860 Pennsylvania Ave, Suite 120, Fairfield, CA 94533-3590 2005-07-07
1225370901 Eric Louis Alter Internal Medicine 425 Post Rd, Fairfield, CT 06824-6232 2013-03-20
1366745267 Northeast Medical Group, Inc Internal Medicine 1305 Post Rd, Suite 105, Fairfield, CT 06824-6016 2010-12-15
1871811430 Awan Professional Medical Corp. Internal Medicine 1525 Webster St, Suite A, Fairfield, CA 94533-4997 2010-05-06
1427374305 Ari T Pollack Internal Medicine 1305 Post Rd, Lower Level, Fairfield, CT 06824-6016 2010-04-16
1447585161 Milind Dhond Md Inc Internal Medicine 1261 Travis Blvd, Suite 200, Fairfield, CA 94533-4897 2009-10-14
1225264914 Adam B. Raskin Internal Medicine 3000 Mack Rd Ste 100, Fairfield, OH 45014-5335 2009-06-08
1427229160 The Heart Group Internal Medicine 209 Nw 11th St, Fairfield, IL 62837-1218 2008-03-21
1275742728 Daniel Clark Eckert Internal Medicine 3000 Mack Road, Suite 100, Fairfield, OH 45014-5335 2007-05-22
Find all providers in FAIRFIELD

Competitor

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City FAIRFIELD
Zip Code 94533

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Dataset Information

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.

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