Stephen Louis Brenneke in Clackamas - Adult Reconstructive Orthopaedic Surgery
Stephen Louis Brenneke - NPI 1194714303
Stephen Louis Brenneke is a Adult Reconstructive Orthopaedic Surgery in Clackamas, Oregon. Stephen Louis Brenneke practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Stephen Louis Brenneke is 1194714303. The last update date is 2011-03-01.
Stephen Louis Brenneke's current location address is 10121 Se Sunnyside Rd, Clackamas, Oregon. You can contact this provider via phone number 5037663545 and fax number 5033423766. The mailing address for Stephen Louis Brenneke is 10121 Se Sunnyside Rd, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Louis Brenneke |
|---|---|
| Address | 10121 Se Sunnyside Rd, Clackamas, Oregon |
| Phone Number | 5037663545 |
| Fax Number | 5033423766 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194714303 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2011-03-01 |
Provider Mailing Address Detail
| Address | 10121 Se Sunnyside Rd |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970155745 |
| Phone Number | 5037663545 |
| Fax Number | 5033423766 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | MD11314 |
|
Definition: 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, arthrosc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112187 | OR | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen Louis Brenneke by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Louis Brenneke has been assigned the NPI (National Provider Identifier) 1194714303. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Stephen Louis Brenneke is located?
The Stephen Louis Brenneke is situated at the following address: 10121 Se Sunnyside Rd, Clackamas, OR, 970155745.
What is Stephen Louis Brenneke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen Louis Brenneke's area of specialization is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Xs0114X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194714303 to Stephen Louis Brenneke?
The Centers for Medicare & Medicaid Services originally issued the 1194714303 to Stephen Louis Brenneke on 2005-10-19.
As of what date was the information pertaining to Stephen Louis Brenneke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stephen Louis Brenneke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-01.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK