Individual
DR. ADAM BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 334-5606
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 334-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00048712
WA
207P00000X
Emergency Medicine Physician
ME83198
FL
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
MD00078712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220945
AMERIGROUP
FL
05
—
265736800
—
FL
01
—
279194
AVMED
FL
01
—
47894
BLUE CROSS BLUE SHIELD
FL
05
—
8501967
—
WA
Enumeration date
08/15/2006
Last updated
05/14/2008
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