Individual provider Active NPI

Michael Brenner, M.D.

  • Family Medicine Physician
  • South Sioux City, NE
National Provider Identifier
1114992674
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23232 Issued in NE
Practice address
3250 Plaza Dr
South Sioux City, NE 68776-3144
Phone
(402) 412-4220
Fax
(402) 412-4222
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35697 IA
Family Medicine Physician 207Q00000X 23232 NE Primary

Addresses

Primary practice location

3250 Plaza Dr
South Sioux City, NE 68776-3144

Mailing address

200 Gold Cir Ste 120
Dakota Dunes, SD 57049-5501
Phone (605) 217-0700

Other identifiers 2

IdentifierTypeStateIssuer
0092080MedicaidIA
1454017MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, SD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041025000851 IA Practitioner - Family Practice 6002877891 Reassigns benefits to 1 organization
I20050801000442 NE Practitioner - Family Practice 6002877891 Reassigns benefits to 1 organization
I20120523000071 SD Practitioner - Family Practice 6002877891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care of Siouxland PLCGroup PAC ID 7315839412, 49 clinicians

Practice addresses (Care Compare)

3250 Plaza Dr
South Sioux City, NE 68776-3144
Phone (402) 412-4220

345 W Steamboat Dr
Suite 300
Dakota Dunes, SD 57049-5287
Phone (605) 217-2175

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Sioux City, IA, CCN 167159
  • St. Croix Hospice Hospice, South Sioux City, NE, CCN 281547
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care of Siouxland PLC Family Medicine CurrentSince Sep 1, 2010 Accepting new patients
Family Health Care of Siouxland LLC Family Medicine PastSince Dec 7, 2025 Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

4230 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 239-4300

814 Pierce St
Ste 30
Sioux City, IA 51101

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

2600 Outer Dr N
Sioux City, IA 51104
Phone (712) 239-3300

814 Pierce St
Ste 300
Sioux City, IA 51101
Phone (712) 226-2600

3250 Plaza Dr
South Sioux City, NE 68776
Phone (402) 412-4220

3250 Plaza Dr
#O
South Sioux City, NE 68776
Phone (402) 412-4220

200 Gold Cir
Ste 120
Dakota Dunes, SD 57049

345 W Steamboat Dr
Ste 401
Dakota Dunes, SD 57049
Phone (605) 217-2195

345 W Steamboat Dr
Ste 300
North Sioux City, SD 57049
Phone (605) 217-2175

Interoperability endpoints

  • Direct secure messaging: michaelbrenner@fhcs.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1114992674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GOLD CIR STE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495501",
            "telephone_number": "605-217-0700",
            "fax_number": "605-217-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 PLAZA DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763144",
            "telephone_number": "402-412-4220",
            "fax_number": "402-412-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "35697",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "23232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092080",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454017",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

Verify at the official NPI Registry.