GEORGE R BRENNEMAN (NPI# 1922055078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922055078 |
| Entity Type | Individual |
| Full Name | GEORGE R BRENNEMAN |
| Credential | MD |
| Practice Address |
Highway 47 & 34 Ft. Thompson SD 57339-0200 |
| Mailing Address |
719 Maiden Choice Lane Apt. Br441 Catonsville MD 21228-5101 |
| Practice Telephone | 6052452285 |
| Practice Fax Number | 6052452384 |
| Mailing Telephone | 4102421904 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4656 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
HIGHWAY 47 & 34 |
| City | FT. THOMPSON |
| State | SD |
| Zip Code | 57339-0200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850862 | Kimberli Mae Hastings | Registered Nurse | 125 Sd Hwy 246, Fort Thompson, SD 57339 | 2019-09-12 |
| 1225411945 | Horizon Health Care Inc | Clinic/Center | 125 Sd Hwy 249, Fort Thompson, SD 57339 | 2015-06-30 |
| 1902286081 | Stephanie Feltman | Nurse Practitioner | 1323 Bia Rd 20, Fort Thompson, SD 57339 | 2015-06-04 |
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1952706921 | Denis Lamonte Jones | Dentist | Denis I. Jones Dds, Phs Indian Health Center, Fort Thompson, SD 57339 | 2014-11-03 |
| 1932523644 | Ft Thompson Health Center | Clinic/Center | 1323 Bia Rte #4, Ft. Thompson, SD 57339 | 2014-02-17 |
| 1720402498 | Ft Thompson Ihs Health Center | Clinic/Center | 1323 Bia Rte 4, Ft Thompson, SD 57339 | 2014-02-14 |
| 1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
| 1033248059 | Fort Thompson Ihc Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 47 and Hwy 34, Fort Thompson, SD 57339 | 2007-03-05 |
| 1154480390 | Cynthia Shirley Wall | Pharmacist | Hwy 47 and 34, Ft. Thompson, SD 57339 | 2006-12-06 |
| Find all providers in zip 57339 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831539642 | Brendan Robert Cleary | Pediatrics | 28th Medical Group, Ellsworth Afb, 6000 Doolittle Drive, Rapid City, SD 57706-1873 | 2013-06-26 |
| 1366704694 | Daniel Ward Mark | Pediatrics | 1600 W 22nd St., Sioux Falls, SD 57105-1521 | 2012-06-12 |
| 1235405572 | Robin's Nest Pediatrics | Pediatrics | 875 Dakota Ave S Ste 2, Huron, SD 57350-2772 | 2012-03-30 |
| 1992081384 | Jon Orrin Flom | Pediatrics | 127 Crestview Dr, Yankton, SD 57078-6721 | 2011-10-29 |
| 1760760458 | Lucy Maria Reifel | Pediatrics | 100 Dialysis Lane, Rosebud, SD 57570 | 2011-07-28 |
| 1518257047 | Laura Whittington | Pediatrics | 6101 South Louise Ave, Sioux Falls, SD 57108 | 2011-04-18 |
| 1326359761 | Jennifer M Thompson | Pediatrics | 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105-0410 | 2010-06-30 |
| 1992016562 | Connie Natalie Taylor | Pediatrics | 1417 S. Cliff Avenue, Suite 010, Sioux Falls, SD 57105-5710 | 2010-06-29 |
| 1124283296 | Eric C. Towe | Pediatrics | 1417 S. Cliff Ave., Ste. 010, Sioux Falls, SD 57105-1014 | 2008-07-28 |
| 1497913701 | Richard Stanford Hosen | Pediatrics | 108 E 35th St, Sioux Falls, SD 57105-4935 | 2008-05-23 |
| Find all providers with the same taxonomy | ||||
| City | FT. THOMPSON |
| Zip Code | 57339 |
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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.