MARK BRENNER DO NPI 1750390456

NPI Information

  • NPI: 1750390456
  • Provider Name: MARK BRENNER, DO
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • Address: 2946 E BANNER GATEWAY DRIVE
    GILBERT, AZ
    ZIP 85234
  • Phone: (480) 256-6444

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NPI Details

Mark Brenner, DO is an urology in Gilbert, AZ. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Mark Brenner, DO NPI is 1750390456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2946 E BANNER GATEWAY DRIVE
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
Fax: (480) 256-4734

The enumeration date for this NPI number is 8/5/2006 and was last updated on 5/18/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology2207ARIZONAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AZ0063470OTHERARIZONABLUECROSSBLUESHIELDAZ
2258914MEDICAIDARIZONA
3Z148512MEDICARE PINARIZONA
41Z0539OTHERARIZONAHEALTHNET
54316747OTHERARIZONAAETNA
6C98164MEDICARE UPINARIZONA
7WCGDV02MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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: 11/21/2025

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