Cathy Jane Brenner, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD4599 Issued in AK

Practice address

20217 Riverside Dr
Eagle River, AK 99577-8856

Phone

(907) 726-1932

NPI assigned

Feb 10, 2007

Last updated

Jul 10, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alyeska Surgery and Urology Inc

  • Surgery Physician
  • Fairbanks, AK
  • NPI 1679627566
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1780725820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770510",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995770510",
            "telephone_number": "907-726-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20217 RIVERSIDE DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778856",
            "telephone_number": "907-726-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "CATHY",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "MD4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Abigail Bramble
• Eric A Branch-Brunello, CARE COORDINATOR
• Dara Rebecca Brann, OTR/L
• Kierra Brecht
• Amy Brendtro
• David Whitfield Brenner, MD
• Jannea Marie Brewer, LMT
• Anna Grace Brillault-Kenny
• Britton Diabetes & Nutrition LLC
• Rebecca Brooks, MS, CF-SLP

• Surgery Physician in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.