Organization Active NPI

Bryan Douglas Brenner PLLC

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1699553636
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRYAN DOUGLAS BRENNER PLLC
Doing business as
Brenner Dental Care
Practice address
215 1St Ave W Suite #100
Seattle, WA 98119
Phone
(206) 258-4965
Fax
(206) 258-4966
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Dr. Bryan Douglas Brenner, DDSNPI 1982618070
Title
Dentist
Phone
(206) 258-4965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

215 1St Ave W Suite #100
Seattle, WA 98119

Mailing address

215 1St Ave W Suite #100
Seattle, WA 98119
Phone (206) 258-4965

Other names 1

  • Brenner Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1699553636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 1ST AVE W SUITE #100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98119",
            "telephone_number": "206-258-4965",
            "fax_number": "206-258-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 1ST AVE W SUITE #100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98119",
            "telephone_number": "206-258-4965",
            "fax_number": "206-258-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN DOUGLAS BRENNER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-258-4965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brenner Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.