Robert Towner Brengel, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RB007571 5101007571 Issued in MI

Practice address

7115 Cade Rd
Brown City, MI 48416-9778

Phone

(810) 346-2757

Fax

(810) 346-2016

NPI assigned

Nov 2, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Robert T Brengel DO & Olan C Dombroske DO, PTRS

  • Family Medicine Physician
  • Brown City, MI
  • NPI 1346411246
  Authorized official Same address or phone

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821089574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 CADE RD",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484169778",
            "telephone_number": "810-346-2757",
            "fax_number": "810-346-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 CADE RD",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484169778",
            "telephone_number": "810-346-2757",
            "fax_number": "810-346-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENGEL",
        "first_name": "ROBERT",
        "middle_name": "TOWNER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RB007571 5101007571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0157600014",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1570105",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Scott Banks, CHIROPRACTOR
• Brown City Wellness Center Inc.
• Ashley Marie Burke, D.C.
• Gayle L Comeau, LNP
• Cornerstone, Inc.
• Corporate Concierge Health & Wellness, LLC

• Family Medicine Physician in Brown City, MI
• Providers in Brown City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.