Robert Kirk Brenneman

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

168368 Issued in OH

Practice address

3908 Wilmington Pike
Kettering, OH 45429-5070

Phone

(937) 222-7349

NPI assigned

Jul 11, 2019

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1346892288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 E DOROTHY LN APT 21",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293860",
            "telephone_number": "937-977-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295070",
            "telephone_number": "937-222-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "ROBERT",
        "middle_name": "KIRK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "168368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Edward Brady III, MD
• Michele Lynette Brandon
• Luke Bredeson, PHARMD
• Anne Elizabeth Breeding, PT, DPT
• William R. Breeding, M.D.
• Lucas Brewer, LPCC-S
• Janet Lee Breyer, LPCC S
• Holly Broach, OTR/L
• Kenneth W Brock, MD
• Tiffani Brock

• Addiction (Substance Use Disorder) Counselor in Kettering, OH
• Providers in Kettering, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.