Active NPI
Adam Brenner, D.C.
- Chiropractor
- Glen Burnie, MD
National Provider Identifier
1194891077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01975
- Practice address
- 7450 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-3547 - Phone
- (410) 424-2266
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01975 | MD | Primary |
Addresses
Primary practice location
7450 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-3547
Mailing address
7450 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-3547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120216000414 | MD | Practitioner - Chiropractic | 9335307685 | Practice locations: Glen Burnie, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01975 | MD | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194891077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 BALTIMORE ANNAPOLIS BLVD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 BALTIMORE ANNAPOLIS BLVD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613547",
"telephone_number": "410-424-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "01975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.