MARK BRENNER DO – NPI #1750390456
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.

MARK BRENNER is an urologist located in GILBERT, AZ. NPPES has assigned the NPI number 1750390456 to MARK BRENNER on August 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 10 years ago on May 18, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK BRENNER below.

NPI Profile for
MARK BRENNER

NPI Number
1750390456
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK BRENNER
Credentials
DO
Primary location
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Phone: (480) 256-6444 Fax: (480) 256-4734
Mailing address
2940 E. BANNER GATEWAY DRIVE
SUITE #450
GILBERT, AZ 85234
Phone: (480) 256-6444 Fax: (480) 256-4734
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARK BRENNER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNAAZ4316747
OTHERBLUECROSSBLUESHIELDAZAZAZ0063470
OTHERHEALTHNETAZ1Z0539
MEDICAIDAZ258914
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
AZ 2207

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.