REBECCA BRENNER (NPI# 1205387388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205387388 |
| Entity Type | Individual |
| Full Name | REBECCA BRENNER |
| Credential | NP |
| Practice Address |
1330 Boiling Springs Rd Suite 2500 Spartanburg SC 29303-4201 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645855433 |
| Practice Fax Number | 8645914053 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20520 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4181 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902122245 | Rebecca Nancy Brenner | Physical Therapist | 6379 Arlington Dr, Pleasanton, CA 94566-7709 | 2010-04-12 |
| 1083861918 | Rebecca M Brenner | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2008-08-21 |
| Street Address |
1330 BOILING SPRINGS RD SUITE 2500 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703128 | John Christopher Caston | Psychiatry & Neurology | 1330 Boiling Springs Rd, Suite 2800, Spartanburg, SC 29303 | 2005-07-12 |
| 1245785617 | Tasha Loren Garrick | Nurse Practitioner | 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-4201 | 2016-08-16 |
| 1093162950 | Landrie Fox Morris | Physician Assistant | 1330 Boiling Springs Rd, Suite 1600, Spartanburg, SC 29303-4201 | 2016-05-20 |
| 1093188799 | Nikita Patel | Physical Therapist | 1330 Boiling Springs Rd, Spartanburg, SC 29303-4201 | 2015-11-04 |
| 1003205626 | David H Whiteside | Nurse Practitioner | 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303-4201 | 2015-01-20 |
| 1457749731 | Megan Nicholas | Physician Assistant | 1330 Boiling Springs Rd, #1600, Spartanburg, SC 29303-4201 | 2015-01-08 |
| 1922496116 | Marva Thomas | Nurse Practitioner | 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303-4201 | 2014-12-23 |
| 1740688191 | Spartanburg Medical Center | Allergy & Immunology | 1330 Boiling Springs Rd, Suite 2500, Spartanburg, SC 29303-4201 | 2014-12-17 |
| 1164858569 | William Orgill Boyd IIi | Physician Assistant | 1330 Boiling Springs Rd, Suite 1600, Spartanburg, SC 29303-4201 | 2013-09-18 |
| 1992137368 | Tara Atallah | Nurse Practitioner | 1330 Boiling Springs Rd, Suite 1400, Spartanburg, SC 29303-4201 | 2013-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231625 | Trisha Slaughter | Nurse Practitioner | 610 Adelaide Dr, Spartanburg, SC 29301-3231 | 2020-06-30 |
| 1891323457 | Jonathan Douglas Tester | Nurse Practitioner | 220 Police Club Rd, Spartanburg, SC 29303-3402 | 2020-03-30 |
| 1215455944 | Jasmine Marie Gregory | Nurse Practitioner | 300 E Blackstock Rd Ste E, Spartanburg, SC 29301-3787 | 2017-09-01 |
| 1730600396 | Stephanie Cannon | Nurse Practitioner | 100 E Wood St Ste 202, Spartanburg, SC 29303-3058 | 2017-07-03 |
| 1538698030 | Deborah Temples Anderson | Nurse Practitioner | 11 Doctors Park Dr Ste 220, Spartanburg, SC 29307-1008 | 2017-06-08 |
| 1285181990 | Faustina Baafour Evans | Nurse Practitioner | 1855 E Main St Ste 21a, Spartanburg, SC 29307-2327 | 2016-09-10 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1992170807 | Jaime Bright | Nurse Practitioner | 301 E Wood St, Spartanburg, SC 29303-3020 | 2015-12-02 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on REBECCA BRENNER.
| 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.