MR. ETHAN JOSEPH BRENNA MSGC
NPI 1497269583
Genetic Counselor, MS in Fargo, ND

NPI Status: Active since November 28, 2017

Contact Information

820 4TH ST N
FARGO, ND
ZIP 58102
Phone: (701) 234-2448
Fax: (701) 234-7239

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  • Individual
  • Male
  • Genetic Counselor, MS

About ETHAN BRENNA

This page provides the complete NPI Profile along with additional information for Ethan Brenna, a provider established in Fargo, North Dakota with a medical specialization in Genetic Counselor, Ms. The healthcare provider is registered in the NPI registry with number 1497269583 assigned on November 2017. The practitioner's primary taxonomy code is 170300000X. The provider is registered as an individual and his NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1497269583
Provider Name
MR. ETHAN JOSEPH BRENNA MSGC
Gender
Male
Entity Type
Individual
Location Address
820 4TH ST N FARGO, ND 58102
Location Phone
(701) 234-2448
Location Fax
(701) 234-7239
Mailing Address
820 4TH ST N FARGO, ND 58102
Mailing Phone
(701) 234-2448
Mailing Fax
(701) 234-7239
Is Sole Proprietor?
Yes
Enumeration Date
11-28-2017
Last Update Date
11-28-2017
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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

Genetic Counselor, MS

Taxonomy Code
170300000X
Type
Other Service Providers
Taxonomy Description
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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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.
1497269583
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241874618516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 6 + 1 + 8 + 5 + 1 + 6 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1497269583 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548287212 RALPH LEVITT MD
Individual
Internal Medicine (Medical Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-4811
1992729230 ASHLEY W JENSEN MD
Individual
Radiology (Radiation Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1205025350DR. TANYA DOCKTER PHARMD
Individual
Pharmacist820 4TH ST N
FARGO, ND 58102
(701) 234-7554
1720346448 SARAH BARTS LRD
Individual
Dietitian, Registered820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1316315385 SHARRI M LACHER CNS
Individual
Clinical Nurse Specialist (Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1306282025 JEFFREY MARK WIISANEN MD
Individual
Internal Medicine (Hematology & Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1710507561 BRITTANY NICOLE TWISS RD, LRD
Individual
Dietitian, Registered820 4TH ST N
FARGO, ND 58102
(701) 234-2245
1043426034 AMIT PANWALKAR
Individual
Internal Medicine (Hematology & Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1205247913 SOMMER RAE WILD NURKIC M.D., M.P.H.
Individual
Radiology (Radiation Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1629369830DR. MIRAN JOEL BLANCHARD MD
Individual
Radiology (Radiation Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1639442411DR. JANA LYNN SUDER DNP
Individual
Nurse Practitioner820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1699181495DR. KIRK DAVID WYATT M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1831110055 NINA C SJOQUIST NP
Individual
Nurse Practitioner820 4TH ST N PO BOX MC
FARGO, ND 58102
(701) 234-6161
1013935667 GERALD G GROSS MD
Individual
Internal Medicine (Hematology & Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1982917506 ABDALLAH ABOU ZAHR MD
Individual
Internal Medicine (Hematology & Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1750669214DR. RADHA KRISHNA RAO VEGUNTA M.D
Individual
Internal Medicine (Hematology & Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1700405685 BRANDI PETERSON APRN, FNP-C
Individual
Nurse Practitioner820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1154807741 MORGAN RINKE NP
Individual
Nurse Practitioner820 4TH ST N
FARGO, ND 58102
(701) 234-6161
1134533805 DANIEL ALMQUIST M.D.
Individual
Internal Medicine (Hematology & Oncology)820 4TH ST N
FARGO, ND 58102
(701) 234-3100
1083325435 LISA ANN BRAUN NP
Individual
Nurse Practitioner820 4TH ST N
FARGO, ND 58102
(701) 234-6161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497269583, enumerated in the NPI registry as an "individual" on November 28, 2017

The provider is located at 820 4th St N Fargo, Nd 58102 and the phone number is (701) 234-2448

The provider's speciality is Genetic Counselor, MS with taxonomy code 170300000X

This NPI record was last updated on November 28, 2017. 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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