Bryan Douglas Brenner, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE60103984 Issued in WA

Practice address

10254 16TH Ave SW
Seattle, WA 98146-1432

Phone

(206) 762-2573

Fax

(206) 763-0291

NPI assigned

Jul 27, 2006

Last updated

Jul 23, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bryan Douglas Brenner

  dba Breneer Dental Care

  • Oral and Maxillofacial Surgery Clinic/Center
  • Seattle, WA
  • NPI 1699448324

  Dentist

  NPD Authorized official
• Bryan Douglas Brenner PLLC

  dba Brenner Dental Care

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1699553636
  NPD Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1982618070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10254 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461432",
            "telephone_number": "206-762-2573",
            "fax_number": "206-763-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10254 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461432",
            "telephone_number": "206-762-2573",
            "fax_number": "206-763-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "BRYAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60103984",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Brennan, MS, CCC-SLP
• Nancy Lynn Brennan, PHARMD
• Sarah Kathleen Brennan
• Elisabeth Anne Brennand, ARNP
• Barbara Brenneman, PHARMD
• Carolyn A. Brenner, OTR/L
• Carolyn J Brenner, MD
• Laurie Anne Brenner, RN
• Brittany Lynn Brenon
• Brent R. Wendel, DPM, Inc, P.S. (Puget Sound Foot & Ankle Center)

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.