BRENCO (NPI# 1295818045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295818045 |
| Entity Type | Organization |
| Organization Name | BRENCO |
| Practice Address |
157 F E Sellers Hwy Monticello MS 39654 |
| Mailing Address |
Po Box 802 Monticello MS 39654-0802 |
| Practice Telephone | 6015871367 |
| Practice Fax Number | 6015870968 |
| Mailing Telephone | 6015871367 |
| Mailing Fax Number | 6015870968 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | MRS. OLLIE BRENT (OFFICE MANAGER) |
| Authorized Official Telephone | 6015871367 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04156094 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRENCO | 210 Davidson Dr Ste B, Hot Springs, AR 71901-9331 |
| Colorado Business Entities | Brenco | 7860 Xavier St, Westminster, CO 80030 |
| Washington State Corporations | BRENCO CORP | 21423 84th Ave S, Kent, WA 98032-1961 |
| New York State Corporations | BRENCO EQUITIES INC. | 11 Knights Circle, Newburgh, New York 12550 |
| Virginia Business Entities | BRENCO INCORPORATED | Po Box 389, Petersburg, Virginia 23804 |
| System for Award Management (SAM) Entities | BRENCO INDUSTRIAL SERVICES LLC | 2905 Mican Dr, Dallas, TX 75212-4604 |
| Colorado Business Entities | Brenco Industrial Services, LLC | 12655 West 54th Drive, Arvada, CO 80002 |
| New York State Corporations | BRENCO NORTHEAST, INC. | 3435 Route 32, Saugerties, New York 12477 |
| Colorado Business Entities | Brenco Operating - Texas, LP | 620 S Cascade Ave., Suite-201, Colorado Springs, CO 80903 |
| System for Award Management (SAM) Entities | BRENCO RETAIL SOLUTIONS | 15030 Jats Dr, Brandy Station, VA 22714-2261 |
| Street Address |
157 F E SELLERS HWY |
| City | MONTICELLO |
| State | MS |
| Zip Code | 39654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
| 1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
| 1861664575 | James Mikel Griffith II | Physical Therapy Assistant | 314 Main St, Ste C, Monticello, MS 39654 | 2008-04-02 |
| 1811169840 | Southwest Mississippi Planning and Development District | Clinic/Center | 1477 Fe Sellers Highway, Monticello, MS 39654 | 2008-03-31 |
| 1447429089 | Foot and Wound Institute of The South | Clinic/Center | 157 Fe Sellers Highway, Monticello, MS 39654 | 2008-02-28 |
| 1346431566 | Amy Eaton Broome | Physical Therapy Assistant | 314 Main St Ste C, Monticello, MS 39654 | 2007-08-05 |
| 1881804532 | Chris Gilbert Boyd | Dentist | 716 Brookhaven Street, Monticello, MS 39654 | 2007-05-23 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| Find all providers in zip 39654 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063552495 | Cynthia Lynn Utley-breneman | Podiatrist | 720 S 6th St, Monticello, IN 47960-8182 | 2007-02-07 |
| 1700926011 | Utley Clinics Inc | Podiatrist | 720 S 6th St, Monticello, IN 47960-8182 | 2007-02-07 |
| 1922190636 | James G Gardiner | Podiatrist | 427 Broadway, Suite 2, Monticello, NY 12701-1742 | 2006-09-29 |
| 1750325668 | Richard Rubin | Podiatrist | 427 Broadway, Ste #2, Monticello, NY 12701 | 2006-06-15 |
| 1164483954 | Nancyann Condro | Podiatrist | 427 Broadway, Suite 2, Monticello, NY 12701-1742 | 2006-03-31 |
| 1487656344 | Mark D Nelson | Podiatrist | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518527688 | Ortho Express Holding Company, LLC | Podiatrist | 1200 Office Park Dr, Oxford, MS 38655-3597 | 2019-06-19 |
| 1932682515 | Feltz Vision Center Ms LLC | Podiatrist | 7716 Old Canton Rd Ste C, Madison, MS 39110-9299 | 2018-09-11 |
| 1881193449 | Dr Michael S Zaleski | Podiatrist | 2310 4th St Ste A, Meridian, MS 39301-5819 | 2018-02-08 |
| 1760905145 | Dr Michael S Zaleski | Podiatrist | 206 Bay Ave Ste A, Richton, MS 39476-2941 | 2017-07-18 |
| 1184009086 | River Health Care, LLC | Podiatrist | 426 Abbey Woods, Brandon, MS 39047-7719 | 2015-07-21 |
| 1528440195 | Dr Michael S. Zaleski | Podiatrist | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-06-19 |
| 1982091096 | Aaron Israel | Podiatrist | 1837 Cooper Rd., Picayune, MS 39466-5576 | 2015-04-16 |
| 1689096612 | Podiatry Group Inc | Podiatrist | 122 5th Ave, Suite A, Mccomb, MS 39648-4159 | 2014-01-10 |
| 1417234022 | Podiatry Associates Pllc | Podiatrist | 56 Sgt Prentiss Dr, Natchez, MS 39120-4726 | 2011-11-10 |
| 1649413246 | Glossie M Turner-jointer | Podiatrist | 4101 Max St, Moss Point, MS 39563-5555 | 2009-04-13 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 39654 |
Please comment or provide details below to improve the information on BRENCO.
| 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.