JEREMY BRENNER (NPI# 1992147771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992147771 |
Entity Type | Individual |
Full Name | JEREMY BRENNER |
Credential | PA-C |
Practice Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
Mailing Address |
Po Box 864074 Orlando FL 32886-4074 |
Practice Telephone | 3864252285 |
Mailing Telephone | 3862264590 |
Enumeration Date | 2013-07-22 |
Last Update Date | 2013-07-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107287 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
303 N CLYDE MORRIS BLVD |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-2709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811991227 | Halifax Hospital Medical Center | Case Management | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2005-06-13 |
1447860374 | Priscilla Selig | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2020-08-05 |
1770123820 | Jane Hollis | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2020-01-07 |
1619512282 | Kristin Patrice Gardner | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-11-07 |
1447804364 | Brenda Martin Cohen | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-07-29 |
1285296574 | Cassie C Norris | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-07-08 |
1063077667 | Jara Apperley | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-05-08 |
1972068153 | Sreyboth Sreng | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2019-02-01 |
1356811244 | Matthew Evans | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2018-12-04 |
1932679503 | Amanda Gonzalez | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-11-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700144490 | Margaux Hill | Physician Assistant | 311 N Clyde Morris Blvd Ste 560, Daytona Beach, FL 32114-2766 | 2012-05-01 |
1700092095 | Gail Jean Wall | Physician Assistant | 431 South Keech Street, Halifax Health Keech Center, Daytona Beach, FL 32114-4623 | 2007-05-15 |
1700846912 | Gerald Siennicki | Physician Assistant | 350 N Ridgewood Ave, Daytona Beach, FL 32114 | 2006-03-23 |
1114489812 | Lindsay Schneider | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-02 |
1063929123 | Jorge Alberto Navarro | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2018-01-10 |
1174066427 | Ryan Skerbetz | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2016-11-18 |
1174992648 | Jennifer Lynn Matey | Physician Assistant | 305 Memorial Medical Pkwy, Suite 501, Daytona Beach, FL 32117-5168 | 2015-09-15 |
1902281389 | Amy Rutherford | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2015-07-27 |
1881001162 | Kimberly W Stackpole | Physician Assistant | 311 N Clyde Morris Blvd, Suite 320, Daytona Beach, FL 32114-2781 | 2014-07-17 |
1750723581 | Kathryn Martin | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-07-22 |
Find all providers in DAYTONA BEACH |
City | DAYTONA BEACH |
Zip Code | 32114 |
Please comment or provide details below to improve the information on JEREMY 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.