Robert a Brenner

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G51139 Issued in CA

Legal business name

ROBERT A BRENNER

Practice address

8860 Center Drive
Suite 420
La Mesa, CA 91942-7001

Phone

(619) 469-5400

Fax

(619) 464-1311

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Robert A Brenner, M.D.

Title

Owner

Phone

(619) 469-5400

Specialties & licenses 1

Addresses

Other names 1

• Robert A Brenner, MD Doing business as

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1740381995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DRIVE",
            "address_2": "SUITE 420",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-469-5400",
            "fax_number": "619-464-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DRIVE",
            "address_2": "SUITE 420",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-469-5400",
            "fax_number": "619-464-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A BRENNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-469-5400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G51139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert A Brenner, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Rivera
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• Brandon Chang Hwun Ro, MSN, PMHNP
• Shelby Elizabeth Robalin, DPT
• Robert Afra MD a Professional Corporation
• Robert B. Eisenberg, M.D., Inc.,
• Robert W. Foster, MD, a Medical Corporation
• Janice Roberts, NURSE PRACTITIONER
• Natalie Roberts

• Gastroenterology Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.