Organization Active NPI

HPCN

Doing business as DRS Brenneman

  • Internal Medicine Physician
  • Muskegon, MI
National Provider Identifier
1568536621
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.