DR. MICHAEL JON BRENNER (NPI# 1659781441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659781441 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JON BRENNER |
| Credential | M.D. |
| Practice Address |
820 Arbutus Ave Oconto WI 54153-2004 |
| Practice Telephone | 9208351100 |
| Practice Fax Number | 9208351099 |
| Mailing Telephone | 9208351100 |
| Mailing Fax Number | 9208351099 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 64491-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 744 S Webster Ave, Green Bay, WI 543013505 | 9204457226 | 9204457229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699732909 | Michael B Brenner | Internal Medicine | Brigham and Women's Hospital Rheumatology Immunology &, Smith Bldg Rm 552, Boston, MA 02115 | 2006-04-28 |
| 1114992674 | Michael Brenner | Family Medicine | 3250 Plaza Dr, South Sioux City, NE 68776-3144 | 2006-02-20 |
| 1154893659 | Michael Brenner | Pharmacist | 33145 Temecula Pkwy, Temecula, CA 92592-9141 | 2018-12-20 |
| 1124472808 | Michael Alan Brenner | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2016-04-19 |
| 1730556598 | Michael Brenner | Counselor | 2307 W 6th St, Los Angeles, CA 90057-3119 | 2015-08-27 |
| 1831328137 | Michael Charles Brenner | Physician Assistant | 114 Brady Ct, Cary, NC 27511-4554 | 2009-07-08 |
| 1023146776 | Michael J. Brenner | Otolaryngology | 19900 Haggerty Rd, Suite 103, Livonia, MI 48152-1054 | 2007-03-02 |
| 1841222023 | Michael B Brenner | Ophthalmology | 3950 Long Beach Blvd, Suite #200, Long Beach, CA 90807-5411 | 2006-07-07 |
| 1679562581 | Michael Joseph Brenner | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2005-10-14 |
| Street Address |
820 ARBUTUS AVE |
| City | OCONTO |
| State | WI |
| Zip Code | 54153-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496826 | Robert A Bivins | Emergency Medicine | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2005-12-05 |
| 1720635485 | Erin Lynne Pape | Nurse Practitioner | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-08-19 |
| 1114579836 | Oconto Hospital & Medical Center Inc | Dietitian, Registered | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-07-12 |
| 1285292078 | Jacob Malone | Dentist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2019-06-05 |
| 1689151599 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2018-07-24 |
| 1730693888 | Leslie M Wochos | Occupational Therapist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-11-28 |
| 1912418179 | Baycare Clinic, LLP | Neurological Surgery | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-10-16 |
| 1255868113 | Kate Marie Vanalstyne | Occupational Therapist | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2017-05-22 |
| 1861899833 | Wisconsin Sports Medicine and Orthopedics,s.c. | Orthopaedic Surgery | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2014-11-19 |
| 1073956223 | The Lakes Community Health Center, Inc | Clinic/Center | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2013-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240650 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 530 Smith Ave, Oconto, WI 54153 | 2008-03-31 |
| 1912997081 | Benzer Wi 1 LLC | Pharmacy | 1008 Main St, Oconto, WI 54153 | 2005-10-28 |
| 1245758127 | Hayley Joy Maxwell | Counselor | 501 Park Ave, Oconto, WI 54153 | 2017-08-31 |
| 1538542089 | Aliaksandr Trusau | Internal Medicine | 620 Smith Ave, Oconto, WI 54153 | 2015-07-01 |
| 1467879296 | Christopher Hanke | Counselor | 501 Park Ave, Oconto, WI 54153 | 2014-03-18 |
| 1669807020 | Joshua Ammon Weenig | Dentist | 1210 Pecor St, Oconto, WI 54153 | 2013-09-04 |
| 1932252533 | Oconto County Health & Human Services | Registered Nurse | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1841343449 | Oconto County Health & Human Services | Hospice Care, Community Based | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1396967253 | Matthew James Karban | Dentist | 500 Superior Avenue, Oconto, WI 54153-0298 | 2007-05-02 |
| 1811492929 | Katie Daniels | Nurse Practitioner | 530 Smith Ave, Oconto, WI 54153-1010 | 2018-03-29 |
| Find all providers in zip 54153 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496826 | Robert A Bivins | Emergency Medicine | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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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.