Active NPI
HPCN
Doing business as DRS Brenneman
- Internal Medicine Physician
- Muskegon, MI
National Provider Identifier
1568536621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HPCN
- Doing business as
- DRS Brenneman
- Practice address
- 1715 Peck St
Muskegon, MI 49441-2507 - Phone
- (231) 722-7128
- Fax
- (231) 722-2598
- NPI assigned
- Nov 20, 2006
- Last updated
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Ellison
- Title
- MGR
- Phone
- (231) 728-1678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
1715 Peck St
Muskegon, MI 49441-2507
Mailing address
1715 Peck St
Muskegon, MI 49441-2507
Phone (231) 722-7128
Other names 1
- DRS BRENNEMAN
National Provider Directory
National Provider DirectoryLocations
1715 Peck St
Muskegon, MI 49441
Phone (231) 722-7128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1568536621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412507",
"telephone_number": "231-722-7128",
"fax_number": "231-722-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412507",
"telephone_number": "231-722-7128",
"fax_number": "231-722-2598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HPCN",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "ELLISON",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "231-728-1678"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DRS BRENNEMAN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.