Individual
JOHN C BRENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-3494
(513) 584-4007
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35-05-1974
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000F5185
—
NM
05
—
0120692000
—
WV
05
—
0591506
—
OH
01
—
0655279
AETNA
OH
01
—
16-20999
UNITED HEALTHCARE
OH
05
—
200039460A
—
IN
01
—
295801
BLACK LUNG
OH
05
—
64785504
—
KY
01
—
920000710
RAILROAD MEDICARE
OH
05
—
P8B037061
—
TX
Enumeration date
08/16/2005
Last updated
02/08/2018
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