Christine Gay Brenner, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301072739 Issued in MI

Practice address

1600 S Canton Center Rd
Ste 200
Canton, MI 48188-1992

Phone

(734) 713-4000

Fax

(734) 713-4001

NPI assigned

Feb 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbrenner57442@direct.hfhs.org
• Direct secure messaging: cbrenner40217@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iha Olma Primary Non Risk LLC

  • Family Medicine Physician
  • Livonia, MI
  • NPI 1073112819
  NPD
• Iha Olma Primary Non Risk LLC

  • Family Medicine Physician
  • Livonia, MI
  • NPI 1467156927
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1013983899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673135",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482673135",
            "telephone_number": "734-464-8300",
            "fax_number": "734-464-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S CANTON CENTER RD",
            "address_2": "STE 200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881992",
            "telephone_number": "734-713-4000",
            "fax_number": "734-713-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "CHRISTINE",
        "middle_name": "GAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301072739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhavik Brahmbhatt
• Shasta A Branch
• Greta L Branford, MD
• Michael Adam Brannan, D.C
• Michael Lawrence Brennan, PA-C
• William James Brenner, MSPT
• Hailey Breslin, PHARMD
• Alison L Briars, LMSW
• Darryl B Bridges, CPRC
• Bright Side Dental

• Pediatrics Physician in Canton, MI
• Providers in Canton, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.