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STACEY RAYELLE BRENNER MD
NPI 1386971505
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since November 09, 2009PECOS Enrolled
400 PARNASSUS AVE STE A405, SAN FRANCISCO, CA 94143(415) 476-4990(415) 476-7964 Get Directions Write a Review

NPPES record last updated: November 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Rayelle Brenner Md NPPES

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

STACEY RAYELLE BRENNER MD (NPI 1386971505) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386971505
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACEY RAYELLE BRENNERCredential: MD
Location Address400 PARNASSUS AVE STE A405San Francisco, CA 94143-2202
Mailing Address400 Parnassus Ave Ste A405San Francisco, CA 94143-2202 · (415) 476-4990 · Fax (415) 476-7964
Phone(415) 476-4990
Fax(415) 476-7964
Sole ProprietorNo
Enumeration DateNovember 9, 2009
✔ NPI 1386971505 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.
400 PARNASSUS AVE STE A405, San Francisco, CA 94143
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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)

Stacey Rayelle 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.

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 Stacey Brenner's NPI number?

The NPI number for Stacey Brenner is 1386971505. It was assigned to this individual provider in the NPPES registry on November 9, 2009.

Where is Stacey Brenner located?

Stacey Brenner practices at 400 Parnassus Ave Ste A405, San Francisco, CA 94143. The listed phone number is (415) 476-4990.

What is Stacey 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 Stacey Brenner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacey Brenner was last updated on November 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.