DR. CHARLES PHILIP BRENNER (NPI# 1114925278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114925278 |
| Entity Type | Individual |
| Full Name | DR. CHARLES PHILIP BRENNER |
| Credential | D.D.S. |
| Practice Address |
145 E Carroll St Salisbury MD 21801-5454 |
| Practice Telephone | 4107490133 |
| Mailing Telephone | 4107490133 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4667 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528176773 | Charles M Brenner IIi | Chiropractor | 4142 S Harvard, Suite D 2, Tulsa, OK 74135-2617 | 2006-08-28 |
| 1174667794 | Charles M Brenner | Dentist | 1875 Hudson Ave, Rochester, NY 14617-5107 | 2007-02-16 |
| 1548299035 | Charles Brenner | Orthopaedic Surgery | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-06-30 |
| Street Address |
145 E CARROLL ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-5454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453208 | Tidalhealth Primary Care, LLC | Family Medicine | 145 E Carroll St, Salisbury, MD 21801-5454 | 2020-03-26 |
| 1780011312 | Peninsula Surgical Group, Pa | Nurse Practitioner | 145 E Carroll St, Salisbury, MD 21801-5454 | 2013-09-27 |
| 1306133913 | Tejal Dharia | Family Medicine | 145 E Carroll St, Suite 101-102, Salisbury, MD 21801 | 2011-07-03 |
| 1992857247 | Charles P. Brenner, D.d.s., P.a. | Dentist | 145 E Carroll St, Salisbury, MD 21801-5454 | 2007-01-17 |
| 1134202252 | Ramesh K. Agarwal, M.d., P.a. | Specialist | 145 E Carroll St, Unit 103, Salisbury, MD 21801-5454 | 2006-10-23 |
| 1104926021 | Ramesh K Agarwal | Internal Medicine | 145 E Carroll St, Unit 103, Salisbury, MD 21801 | 2006-09-22 |
| 1992779136 | Nicole M Alu-parks | Family Medicine | 145 E Carroll St, Salisbury, MD 21801 | 2006-02-15 |
| 1295705887 | Peninsula Oncology and Hematology | Specialist | 145 E Carroll St, Suite A-1, Salisbury, MD 21801-5454 | 2006-01-25 |
| 1780668913 | Nicholas J Dudas | Surgery | 145 E Carroll St, Salisbury, MD 21801-5454 | 2005-12-01 |
| 1962484428 | Peninsula Surgical Group, P.a. | Surgery | 145 E Carroll St, Salisbury, MD 21801-5454 | 2005-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821472705 | Ojas Parikh | Dentist | 140 Mahaley Ave Ste B, Salisbury, NC 28144-2449 | 2015-07-10 |
| 1962677625 | Dr. Mcclary & Associates IIi, P.a. | Dentist | 1030 Freeland Drive, Suite #104, Salisbury, NC 28144-4200 | 2008-04-24 |
| 1225191927 | Jean Ann Lewis | Dentist | 677 S Salisbury Blvd, Salisbury, MD 21801-5431 | 2006-12-18 |
| 1225004195 | Susan Ellen Vickers | Dentist | 6512a Deer Pointe Dr, Salisbury, MD 21804-1669 | 2006-02-28 |
| 1790278166 | Deeva Kirit Bhatt | Dentist | 140 Mahaley Ave Ste B, Salisbury, NC 28144-2449 | 2018-06-11 |
| 1174021810 | Jean Ann Lewis Dmd PC | Dentist | 677 S Salisbury Blvd, Salisbury, MD 21801-5431 | 2018-01-29 |
| 1447770391 | Morgan Nicole Adamson | Dentist | 140 Mahaley Ave Ste B, Salisbury, NC 28144-2449 | 2017-06-22 |
| 1831543594 | Kelly Krekel | Dentist | 140 Mahaley Ave Ste B, Salisbury, NC 28144 | 2016-04-19 |
| 1972941870 | David E Thome Dds Pa I | Dentist | 140 Mahaley Ave, Salisbury, NC 28144-2449 | 2013-06-13 |
| 1437597853 | David E Thome Dds Pllc IIi | Dentist | 140 Mahaley Ave, Salisbury, NC 28144-2449 | 2013-06-07 |
| Find all providers in SALISBURY | ||||
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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.