MR. HENDERSON B BRENNER P.T. NPI 1598742694

NPI Information

NPI: 1598742694
Provider Name: MR. HENDERSON B BRENNER, P.T.
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
576 JEFFERSON AVE
FORT EUSTIS, VA
ZIP 23604
Phone: (757) 314-7500
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MR. Henderson B Brenner, P.T. is a military health care provider in Fort Eustis, VA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Henderson B Brenner, P.T. NPI is 1598742694. 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:

576 JEFFERSON AVE
FORT EUSTIS, VA
ZIP 23604-602
Phone: (757) 314-7500

The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/8/2007.

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
1	171000000X	Military Health Care Provider		1109718	TEXAS	Yes

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
1	1109718	OTHER	TEXAS	PHYSICAL THERAPY LICENSE

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

NPI Synchronization or Removal

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