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DR. STEPHEN LOUIS BRENNEKE M.D. NPI 1194714303


NPI Information

NPI: 1194714303
Provider Name: DR. STEPHEN LOUIS BRENNEKE, M.D.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
10121 SE SUNNYSIDE RD
SUITE 130
CLACKAMAS, OR
ZIP 97015
Phone: (503) 766-3545
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DR. Stephen Louis Brenneke, M.D. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Clackamas, OR. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Stephen Louis Brenneke, M.D. NPI is 1194714303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10121 SE SUNNYSIDE RD
SUITE 130
CLACKAMAS, OR
ZIP 97015-745
Phone: (503) 766-3545
Fax: (503) 342-3766

The enumeration date for this NPI number is 10/19/2005 and was last updated on 3/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryMD11314OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C92279MEDICARE UPINOREGON
2112188MEDICARE ID-TYPE UNSPECIFIEDOREGON
3112187OTHEROREGONMEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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