Mark L Brenner

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

13333 Ventura Blvd Ste 205
Sherman Oaks, CA 91423-6226

Phone

(819) 422-2000

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1417527987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 VENTURA BLVD STE 205",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 VENTURA BLVD STE 205",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236226",
            "telephone_number": "819-422-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Bravo
• Janet Bravo, NP-C
• Michelle Andrea Bravo, RN
• Brandon Jade Breault, LMFT
• Haylie Breidenstein
• Dale J Brent, MD
• Jennifer Breslin, PHD, LPCC
• Caytie Briggs
• Steven Lee Brigham, PH.D.
• Bright Path Home Health Agency Inc

• Counselor in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.