HAILEY THERESA BRENNER
NPI 1790572758
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since April 23, 2025PECOS Enrolled
30 E APPLE ST STE 6258, DAYTON, OH 45409(937) 208-8000 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hailey Theresa Brenner NPPES

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

HAILEY THERESA BRENNER (NPI 1790572758) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790572758
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHAILEY THERESA BRENNER
Location Address30 E APPLE ST STE 6258Dayton, OH 45409-2939
Mailing Address30 E Apple St Ste 6258Dayton, OH 45409-2939 · (937) 208-8000
Sole ProprietorNo
Enumeration DateApril 23, 2025
NPPES CertifiedApril 15, 2025
NPI 1790572758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
30 E APPLE ST STE 6258, Dayton, OH 45409

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hailey Theresa Brenner 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.

Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Surgery
30 E APPLE ST STE 6258
DAYTON, OH 45409
Surgery
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409

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 Hailey Brenner's NPI number?

The NPI number for Hailey Brenner is 1790572758. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Hailey Brenner located?

Hailey Brenner practices at 30 E Apple St Ste 6258, Dayton, OH 45409. The listed phone number is (937) 208-8000.

What is Hailey 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 Hailey Brenner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Hailey Brenner was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.