Individual
DANIEL SAUL BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01085643A
IN
207P00000X
Emergency Medicine Physician
D86791
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001574312
ANTHEM PTAN
IN
05
—
300053244
—
IN
01
—
D86791
LICENSE
MD
Enumeration date
03/29/2016
Last updated
03/04/2025
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