DR. STEPHEN LOUIS BRENNEKE M.D.
NPI 1194714303
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Clackamas, OR

NPI Status: Active since October 19, 2005

Contact Information

10121 SE SUNNYSIDE RD
SUITE 130
CLACKAMAS, OR
ZIP 97015
Phone: (503) 766-3545
Fax: (503) 342-3766

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  • Individual
  • Male
  • Orthopaedic Surgery
  • Adult Reconstructive Orthopaedic Surgery

About STEPHEN BRENNEKE

This page provides the complete NPI Profile along with additional information for Stephen Brenneke, a provider established in Clackamas, Oregon with a medical specialization in Orthopaedic Surgery, focusing in adult reconstructive orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1194714303 assigned on October 2005. The practitioner's primary taxonomy code is 207XS0114X with license number MD11314 (OR). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1194714303
Provider Name
DR. STEPHEN LOUIS BRENNEKE M.D.
Gender
Male
Entity Type
Individual
Location Address
10121 SE SUNNYSIDE RD SUITE 130 CLACKAMAS, OR 97015
Location Phone
(503) 766-3545
Location Fax
(503) 342-3766
Mailing Address
10121 SE SUNNYSIDE RD SUITE 130 CLACKAMAS, OR 97015
Mailing Phone
(503) 766-3545
Mailing Fax
(503) 342-3766
Is Sole Proprietor?
Yes
Enumeration Date
10-19-2005
Last Update Date
03-01-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery

Taxonomy Code
207XS0114X
Type
Allopathic & Osteopathic Physicians
License No.
MD11314
License State
OR
Taxonomy Description
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C92279MEDICARE UPIN (02)OR 
112188MEDICARE ID-TYPE UNSPECIFIED (04)OR 
112187OTHER (01)ORMEDICARE GROUP

Reviews for DR. STEPHEN LOUIS BRENNEKE M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194714303
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184141830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 4 + 1 + 8 + 3 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1194714303 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144213133DR. DAVID EDWARD DOYLE JR. DDS
Individual
Dentist (Pediatric Dentistry)10121 SE SUNNYSIDE RD SUITE 320
CLACKAMAS, OR 97015
(503) 786-5080
1164638136 KIMBERLEY JANE HORNER N.D.
Individual
Naturopath10121 SE SUNNYSIDE RD SUITE 300B
CLACKAMAS, OR 97015
(503) 653-1816
1538314109ALIGN CHIROPRACTIC LLC
Organization
Clinic/Center (Health Service)10121 SE SUNNYSIDE RD SUITE #300
CLACKAMAS, OR 97015
(503) 496-5166
1043648033NORTHWEST FAMILY PSYCHOLOGY
Organization
Psychologist10121 SE SUNNYSIDE RD SUITE 300
CLACKAMAS, OR 97015
(503) 454-6834
1851715098JAMES M MOURS, LLC
Organization
Clinic/Center (Adult Mental Health)10121 SE SUNNYSIDE RD SUITE #300
CLACKAMAS, OR 97015
(503) 941-0245
1902212731JAMES M MOURS LLC
Organization
Psychologist (Clinical)10121 SE SUNNYSIDE RD SUITE 300
CLACKAMAS, OR 97015
(503) 941-0245
1740365238 ETHAN COLLIER
Individual
Physical Therapist10121 SE SUNNYSIDE RD SUITE 208
CLACKAMAS, OR 97015
(503) 794-0103
1689702722CLACKAMAS SPORTSCARE LLC
Organization
Physical Therapist10121 SE SUNNYSIDE RD SUITE 208
CLACKAMAS, OR 97015
(503) 794-0103
1194186072 SAMANTHA ELLEN RICHARDS MS CCC-SLP
Individual
Speech-Language Pathologist10121 SE SUNNYSIDE RD SUITE 210
CLACKAMAS, OR 97015
(971) 224-2040
1346796752 JEANETTE MARIE BROWN-SNYDER PT
Individual
Physical Therapist10121 SE SUNNYSIDE RD SUITE 210
CLACKAMAS, OR 97015
(360) 735-7155
1124412366MR. GAELEN WATT DPT
Individual
Physical Therapist10121 SE SUNNYSIDE RD #208
CLACKAMAS, OR 97015
(503) 794-0103
1730346289DR. MELISSA RAE KINDER MD
Individual
Plastic Surgery (Surgery of the Hand)10121 SE SUNNYSIDE RD SUITE 235
CLACKAMAS, OR 97015
(503) 498-8190
1003258948MELISSA R KINDER MD, LLC
Organization
Plastic Surgery10121 SE SUNNYSIDE RD SUITE 235
CLACKAMAS, OR 97015
(503) 498-8190
1477364065HOPELINE HEALTH CENTER LLC
Organization
Community/Behavioral Health10121 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
(503) 534-6406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194714303, enumerated in the NPI registry as an "individual" on October 19, 2005

The provider is located at 10121 Se Sunnyside Rd Suite 130 Clackamas, Or 97015 and the phone number is (503) 766-3545

The provider's speciality is Orthopaedic Surgery with taxonomy code 207XS0114X with a focus in Adult Reconstructive Orthopaedic Surgery

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 19, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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