DR. MICHAEL J. BRENNER MD NPI 1023146776

Otolaryngology in Livonia, MI

About MICHAEL BRENNER

Michael Brenner is a provider in Livonia, MI with more than 18 years of experience. The NPI number assigned to this provider is 1023146776. The practitioner's primary taxonomy code is Otolaryngology (207Y00000X). The provider is registered as an individual and their NPI record was last updated 4 years ago. Michael Brenner is registered with Medicare and accepts claims assignment.

NPI1023146776 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. MICHAEL J. BRENNER MD
Provider Location Address19900 HAGGERTY RD SUITE 103 LIVONIA, MI 48152 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameNORTHWESTERN UNIVERSITY MEDICAL SCHOOL
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-02-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-08-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. MICHAEL J. BRENNER MD
19900 HAGGERTY RD
SUITE 103
LIVONIA, MI
ZIP 48152
Phone: (734) 432-7634
Fax: (734) 432-7660
Get Directions

Mailing Address

DR. MICHAEL J. BRENNER MD
3621 S STATE ST
700 KMS PLACE
ANN ARBOR, MI
ZIP 48108
Phone: (734) 936-2047

Primary Taxonomy

Taxonomy Code207Y00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
License No.4301102509
License StateMI
Taxonomy DescriptionAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine4301102509MINo

Taxonomy Description: an Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

2207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery4301102509MINo

Taxonomy Description: an otolaryngologist who specializes in facial plastic surgery.

3207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck036-121585ILNo

Taxonomy Description: an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

4207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery036-121585ILNo

Taxonomy Description: an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
036121585MEDICAID (05)IL
R03265MEDICARE PIN (08)IL
H71283MEDICARE UPIN (02)

Map Location


DR. MICHAEL J. BRENNER MD address is 19900 HAGGERTY RD SUITE 103 LIVONIA, MI 48152

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083778252DR. MARY EMILY WILCOX CUMMINGS MD
Individual
Family Medicine19900 HAGGERTY RD
LIVONIA, MI 48152
(734) 432-7811
1205928678 JOHN THOMAS WEI MD
Individual
Urology19900 HAGGERTY RD SUITE 111
LIVONIA, MI 48152
(734) 432-7811
1346529229 KRISTEN MARIE KOWALSKI AU.D., CCC-A
Individual
Audiologist19900 HAGGERTY RD SUITE 111
LIVONIA, MI 48152
(734) 432-7811
1356434658REGENTS OF THE UNIVERSITY OF MICHIGAN
Organization
Clinic/Center (Ambulatory Surgical)19900 HAGGERTY RD
LIVONIA, MI 48152
(734) 764-3150
1366481541MS. GAYLE F. ADAMS PA-C
Individual
Physician Assistant19900 HAGGERTY RD
LIVONIA, MI 48152
(734) 432-7811
1457782450REGENTS OF THE UNIVERSITY OF MICHIGAN - AMBULATORY CTR FOR VEIN TRTMT
Organization
Physician Assistant19900 HAGGERTY RD SUITE 105
LIVONIA, MI 48152
(734) 432-7811
1609005511DR. JAMIL ASARIA MD, BSC, FRCSC
Individual
Otolaryngology19900 HAGGERTY RD SUITE 103
LIVONIA, MI 48152
(734) 432-7634
1609998228 LOIS J BRAGG PA
Individual
Physician Assistant19900 HAGGERTY RD SUITE 106
LIVONIA, MI 48152
(734) 432-7870
1619985769 STEPHANIE MEYERS MD
Individual
Urology19900 HAGGERTY RD SUITE 111
LIVONIA, MI 48152
(734) 432-7811
1669512786REGENTS OF THE UNIV OF MICHIGAN- AMBULATORY CTR FOR VEIN TREATMENT
Organization
19900 HAGGERTY RD SUITE 105
LIVONIA, MI 48152
(734) 432-7662
1700199171 MICHAEL BRANDT MD
Individual
Otolaryngology19900 HAGGERTY RD SUITE 103
LIVONIA, MI 48152
(734) 432-7634
1740598168DR. CHRISTINA MARIA ASHRAFIOUN AU.D.
Individual
Audiologist19900 HAGGERTY RD STE 111
LIVONIA, MI 48152
(734) 432-7811
1851648521DR. ARVIN GEORGE MD
Individual
Urology19900 HAGGERTY RD SUITE 111
LIVONIA, MI 48152
(734) 432-7811
1891022034 MARLENE M SHAW-GALLAGHER PA-C
Individual
Physician Assistant19900 HAGGERTY RD SUITE 106
LIVONIA, MI 48152
(734) 432-7870