David Bernerd Brandner, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051039037 Issued in IL

Practice address

1033 Shooting Park Rd
Peru, IL 61354-1870

Phone

(815) 223-7853

Fax

(815) 223-0978

NPI assigned

Nov 11, 2011

Last updated

Nov 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1891072393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 SHOOTING PARK RD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541870",
            "telephone_number": "815-223-7853",
            "fax_number": "815-223-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 SHOOTING PARK RD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541870",
            "telephone_number": "815-223-7853",
            "fax_number": "815-223-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDNER",
        "first_name": "DAVID",
        "middle_name": "BERNERD",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051039037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Bogatitus, DPT
• Amy Lynn Bolelli, OTR/L
• Joan Elizabeth Boska, OTR/L
• David Bourbonnais
• Nathan Bowers
• Kelsey Janelle Brannan, M.S., ATC
• Matthew Bruno, P.A.
• Nora Rose Burch, WHNP-BC
• Kandi Burlingame, RN, CDCES
• Steven Busch, CRNA

• Pharmacist in Peru, IL
• Providers in Peru, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.