George R Brenneman, MD in Ft. Thompson, SD - Pediatrics

George R Brenneman, MD is a Pediatrics physician based in Ft. Thompson, South Dakota. George R Brenneman is licensed to practice in South Dakota (license number 4656) and his current practice location is Highway 47 & 34, Ft. Thompson, South Dakota. He can be reached at his office (for appointments etc.) via phone at (605) 245-2285.

NPI number for George R Brenneman is 1922055078 and his current mailing address is 719 Maiden Choice Lane,, Apt. Br441, Catonsville, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922055078.

Contact Information

	George R Brenneman, MD
	Highway 47 & 34, Ft. Thompson, SD 57339-0200
	(605) 245-2285
	(605) 245-2384

Physician's Profile

Full Name	George R Brenneman
Gender	Male
Speciality	Pediatrics
Location	Highway 47 & 34, Ft. Thompson, South Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1922055078
Provider Enumeration Date: 05/27/2006
Last Update Date: 09/17/2008

Medical Identifiers

Medical identifiers for George R Brenneman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922055078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4656 (South Dakota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. George R Brenneman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
George R Brenneman, MD 719 Maiden Choice Lane,, Apt. Br441, Catonsville, MD 21228-5101 Ph: (410) 242-1904	George R Brenneman, MD Highway 47 & 34, Ft. Thompson, SD 57339-0200 Ph: (605) 245-2285

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George R Brenneman, MD - Pediatrics in Ft. Thompson, SD