Individual
JOEL S BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7850
(757) 668-7885
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7475
(757) 668-8658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101052850
VA
2080A0000X
Pediatric Adolescent Medicine Physician
0101052850
VA
2080S0010X
Pediatric Sports Medicine Physician
Primary
0101052850
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010253977
—
VA
Enumeration date
06/15/2006
Last updated
08/23/2023
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