DR. TRACY M. BRENNER (NPI# 1053598896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053598896 |
Entity Type | Individual |
Full Name | DR. TRACY M. BRENNER |
Credential | M.D. |
Practice Address |
8902 N Meridian St #210 Indianapolis IN 46260-5307 |
Practice Telephone | 3178446444 |
Practice Fax Number | 3178486605 |
Mailing Telephone | 3178446444 |
Mailing Fax Number | 3178486605 |
Enumeration Date | 2008-01-23 |
Last Update Date | 2020-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
01071533A | IN | Allopathic & Osteopathic Physicians |
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
50212-20 | WI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700158425 | Tracy Brenner | Psychologist | 301 E 29th St, New York, NY 10016-8301 | 2012-01-27 |
1992098255 | Tracy Lee Brenner | Licensed Vocational Nurse | 3002 Armstrong St, San Diego, CA 92111-5702 | 2011-05-19 |
Street Address |
8902 N MERIDIAN ST #210 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46260-5307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
Find all providers in zip 46260 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407167273 | Anan Bassam Afaneh | Internal Medicine | 6905 E 96th St Ste 300, Indianapolis, IN 46250-4456 | 2010-06-28 |
1538225487 | Kimberly Shaw Lamberson | Internal Medicine | 1001 West 10th Street, Wishard Hospital, Indianapolis, IN 46202 | 2006-12-28 |
1215987185 | Robert Alan Ortmann | Internal Medicine | Lilly Corporate Ctr, Dc 1940, Indianapolis, IN 46285-0001 | 2006-05-11 |
1164486874 | Rose S Fife | Internal Medicine | 541 Clinical Dr, Cl 370, Indianapolis, IN 46202-5233 | 2006-04-12 |
1083689939 | Gregory Marcos Bell | Internal Medicine | 7910 E Washington St Ste 200a, Indianapolis, IN 46219-5533 | 2006-02-22 |
1225010887 | James W, Ehlich Jr. | Internal Medicine | 5255 E Stop 11 Rd Ste 320, Indianapolis, IN 46237-6341 | 2005-11-18 |
1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
1700039716 | Naresh Chauhan | Internal Medicine | 1110 W Michigan St, Room 545, Indianapolis, IN 46202-5209 | 2008-11-04 |
1386800944 | Mrisa Sahai | Internal Medicine | 550 University Blvd, Indianapolis, IN 46202-5149 | 2008-08-04 |
1356505382 | Community Hospitals of Indiana Inc | Internal Medicine | 8202 Clearvista Pkwy, Suite 8b, Indianapolis, IN 46256-1456 | 2008-07-18 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46260 |
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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.