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BRENNA WYNNE MD NPI 1235156258


NPI Information

NPI: 1235156258
Provider Name: BRENNA WYNNE, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1 COOPER PLZ
COOPER UNIVERISRY EMERGENCY PHYSICIANS
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2351
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Brenna Wynne, MD is an emergency medicine in Camden, NJ with 21 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Brenna Wynne, MD NPI is 1235156258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 COOPER PLZ
COOPER UNIVERISRY EMERGENCY PHYSICIANS
CAMDEN, NJ
ZIP 08103-461
Phone: (856) 342-2351
Fax: (856) 968-8272

The NPI 1235156258 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineMA08014100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101077790000OTHERNEW JERSEYAMERICHOICE
2P00376573OTHERNEW JERSEYRR MEDICARE
360025839OTHERNEW JERSEYHORIZON NJ HEALTH
40109983MEDICAIDNEW JERSEY
52679053OTHERNEW JERSEYUNITED HEALTHCARE
61321749OTHERNEW JERSEYAETNA
72751473000OTHERNEW JERSEYAMERIHEALTH/KEYSTON/IBC
85618198OTHERNEW JERSEYCIGNA
9P3698442OTHERNEW JERSEYOXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.