Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRYOR BRENNER, MD
ActiveOtolaryngology · JB ANDREWS, MD
Registration Details
- NPI Number
- 1134242142
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2007 (19.044915348188 yrs)
- Last Updated
- Apr 15, 2022
- Licenses
-
01059894A (IN)2022006412 (MO)
Practice Information
- Address
-
1060 W PERIMETER RDJB ANDREWS, MD, 207626602Browse MD providers · Browse ZIP 20762
- Phone
- 2406121660
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.