Individual provider Active NPI

Mila Brooks Brenner, NP

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1336564004
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171529 Issued in VA
Practice address
6251 E Virginia Beach Blvd Ste 310
Norfolk, VA 23502-2800
Phone
(757) 624-0300
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171529 VA Primary

Addresses

Primary practice location

6251 E Virginia Beach Blvd Ste 310
Norfolk, VA 23502-2800

Mailing address

6251 E Virginia Beach Blvd Ste 310
Norfolk, VA 23502-2800
Phone (757) 624-0300

Other practice location 1

1200 Atlantic Shores Dr
Virginia Beach, VA 23454-7311
Phone (757) 721-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707000412 VA Practitioner - Nurse Practitioner 2567774433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince May 30, 2017 Accepting new patients
Sentara Medical Group PastSince May 30, 2017 Accepting new patients

Locations

3000 Coliseum Dr
Fl 2
Hampton, VA 23666
Phone (757) 736-1347

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

830 Kempsville Rd
Rm 2B223
Norfolk, VA 23502
Phone (757) 261-8860

6251 E Virginia Beach Blvd
Ste 310
Norfolk, VA 23502
Phone (757) 624-0300

800 Independence Blvd
Fl 5
Virginia Beach, VA 23455
Phone (757) 252-3050

1060 First Colonial Rd
Fl 1
Virginia Beach, VA 23454
Phone (757) 395-2323

2025 Glenn Mitchell Dr
Fl 4
Virginia Beach, VA 23456
Phone (757) 507-4103

100 Sentara Cir
Fl 3
Williamsburg, VA 23188
Phone (757) 984-7338

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1336564004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 E VIRGINIA BEACH BLVD STE 310",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022800",
            "telephone_number": "757-624-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 E VIRGINIA BEACH BLVD STE 310",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022800",
            "telephone_number": "757-624-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Atlantic Shores Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234547311",
            "country_code": "US",
            "telephone_number": "757-721-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "MILA",
        "middle_name": "BROOKS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.