DR. ROBERT MARK BRENNER (NPI# 1477536241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477536241 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MARK BRENNER |
| Credential | D.O. |
| Practice Address |
3610 Baltimore Ave #4 Kansas City MO 64111-2115 |
| Mailing Address |
14505 W 90th Ct Lenexa KS 66215-2915 |
| Practice Telephone | 5736192635 |
| Practice Fax Number | 5733020678 |
| Mailing Telephone | 5736198960 |
| Enumeration Date | 2005-11-24 |
| Last Update Date | 2014-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | R1E47 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 242165512 | 05 | |
| MO | RAILROAD MEDICARE | P00423367 | 01 |
| MO | MEDICARE PTAN | 951113557 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942416896 | Robert John Brenner | Dentist | 17 S Randall Rd, Batavia, IL 60510-9471 | 2007-05-15 |
| 1992875124 | Robert Scott Brenner | Internal Medicine | 3733 Park East Drive, 105, Beachwood, OH 44122-4337 | 2006-11-08 |
| 1407954878 | Robert J Brenner | Ophthalmology | 365 S Main St, New City, NY 10956-3061 | 2006-09-20 |
| 1689629206 | Robert Maurice Brenner | Optometrist | 70 Park Ave W, Mansfield, OH 44902-1624 | 2006-05-23 |
| 1174528087 | Robert L. Brenner | Obstetrics & Gynecology | 8833 Enclave Ct, Sarasota, FL 34238-4486 | 2005-06-16 |
| 1003456195 | Robert Brenner | Audiologist-Hearing Aid Fitter | 600 Mamaroneck Ave Ste 400, Harrison, NY 10528-1613 | 2020-01-07 |
| 1366862971 | Robert Brenner | Orthopaedic Surgery | 550 1st Ave, New York, NY 10016-6402 | 2014-04-22 |
| 1528492709 | Robert James Brenner IIi | Pharmacist | 320 E North Ave Ste 111, Pittsburgh, PA 15212-4756 | 2013-08-24 |
| 1619299880 | Robert Brenner | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2010-02-16 |
| 1962730812 | Robert Stephen Brenner | Dentist | 880 Western Ave, Albany, NY 12203-2532 | 2009-12-03 |
| Street Address |
3610 BALTIMORE AVE #4 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285894030 | Alosh Madala | Urology | 2340 E Meyer Blvd Ste 382, Kansas City, MO 64132-1129 | 2008-06-16 |
| 1194948778 | Samuel Kuykendall | Urology | 4321 Washington St Ste 5300, Kansas City, MO 64111-5931 | 2007-04-11 |
| 1447399431 | Moben Mirza | Urology | 3901 Rainbow Blvd Ms 3016, Dept of Urology - Univ of Ks Medical Ctr, Kansas City, KS 66160 | 2007-02-06 |
| 1215073143 | Kansas University Physicians Inc | Urology | 5017 Sudler Hall, Mail Stop 3016 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1821618877 | Dane Stephens | Urology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-04-20 |
| 1558981571 | Sarah Karthika Amalraj | Urology | University of Kansas Medical Center 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2020-04-20 |
| 1891321378 | Jordan James Stiverson | Urology | 2106 Olathe Blvd, Kansas City, KS 66160-0001 | 2020-03-17 |
| 1235769324 | Taylor Renee Joseph | Urology | 2340 E Meyer Blvd, Kansas City, MO 64132-1105 | 2020-01-17 |
| 1639733470 | Ryan Didde | Urology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-04-26 |
| 1427444678 | Keegan Zuk | Urology | 2750 Clay Edwards Dr Ste 500, Kansas City, MO 64116-3258 | 2015-04-14 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.