| Kristopher L Brenner, DO | |
|
25 Creekview Ct, Greenville, SC 29615-4800 | |
| (864) 522-6300 | |
| (864) 522-6305 |
| Full Name | Kristopher L Brenner |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 25 Creekview Ct, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760446264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS19141 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 87751 (South Carolina) | Primary |
| Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristopher L Brenner, DO 300 E Mcbee Ave Ste 300, Greenville, SC 29601-2899 Ph: (864) 522-8603 | Kristopher L Brenner, DO 25 Creekview Ct, Greenville, SC 29615-4800 Ph: (864) 522-6300 |
David Markus Diamant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 877 W Faris Rd Ste B, Greenville, SC 29605 Phone: 864-522-6225 Fax: 864-522-6235 | |
Makayla Swygert, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 877 W Faris Rd, Greenville, SC 29605 Phone: 864-455-9022 Fax: 864-455-9082 | |
Michael James Poinsette, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Creekview Ct, Greenville, SC 29615 Phone: 864-522-6300 Fax: 864-522-6305 | |
Steven M Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Cross Park Ct, Greenville, SC 29605 Phone: 864-271-9773 Fax: 864-271-1151 | |
Dr. Fariha Batool Sultan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125 | |
Jamie C Goodman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6119 White Horse Rd Ste 14, Greenville, SC 29611 Phone: 864-614-7001 | |
Laura Colleen Nall, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11402 Anderson Rd, Suite A, Greenville, SC 29611 Phone: 864-631-2799 Fax: 864-631-2795 |