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JOSEPH DALE BRENNER MD
NPI 1124813308
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 10, 2025PECOS Enrolled
4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201(313) 745-5146 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph Dale Brenner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH DALE BRENNER MD (NPI 1124813308) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124813308
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH DALE BRENNERCredential: MD
Location Address4201 SAINT ANTOINE ST # 9CDetroit, MI 48201-2153
Mailing Address11706 Plymouth Woods DrLivonia, MI 48150-4507
Phone(313) 745-5146
Sole ProprietorYes
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1124813308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST # 9C, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Dale Brenner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE NICOLE STEVENS MD
Anesthesiology
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
MANPREET KAUR MD
Emergency Medicine
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
PRIYA SHARMA MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
HUSSEIN CHAHROUR MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-3433
SHIREEN NASER ABDEL-RAZZAQ MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
MR. EMMANUEL OLAOLUWA DANIEL MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-8040
DR. BRANDON B HUDSON MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. YARA ISSA KARAM D.P.M., M.ED.
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201
Wayne County (313) 745-5146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Brenner's NPI number?

The NPI number for Joseph Brenner is 1124813308. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Joseph Brenner located?

Joseph Brenner practices at 4201 Saint Antoine St # 9C, Detroit, MI 48201. The listed phone number is (313) 745-5146.

What is Joseph Brenner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joseph Brenner enrolled in Medicare?

Yes. Joseph Brenner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Brenner was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.