LOUIS BRENNER (M.D.) – Family Medicine Physician, NPI 1003852815

LOUIS BRENNER (M.D.) is a healthcare provider. based in Upland, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G36509 (CA). The NPI Number for LOUIS BRENNER (M.D.) is 1003852815

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
LOUIS BRENNER (M.D.)
NPI
1003852815
Phone
(909) 949-8000
Address
1113 ALTA AVE
Enumeration Date
21 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4068835377
Graduation Year
1967 (59 years ago)
PAC ID
0547173072
Group Practice PAC ID
0446230247
Professional Enrollment ID
I20031110000733
Address ID
MT598605315PO6XXXXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,190 FAMILY PRACTICE in CA

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Provider Addresses for LOUIS BRENNER (M.D.)

  • 1113, Alta Avenue, Upland, San Bernardino County, California, 91786, United States

    SUITE 110

    UPLAND, CA 917862800

    Phone: (909) 949-8000

    Fax: (909) 920-1111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031110000733IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4442$0
99214Established patient office or other outpatient visit, 30-39 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 91786)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446230247View full group profile
NameSpecialtyState
Physician AssistantWA
Physician AssistantMT
Orthopedic SurgeryNY
E N D O C R I N O L O G YMT
-MT
-WA
Physician AssistantMT
Emergency MedicineNM
Emergency MedicineOH
O B S T E T R I C S/ G Y N E C O L O G YMT

Reviews

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Frequently asked questions

What federal number belongs to LOUIS BRENNER (M.D.)?
The federal identifier for LOUIS BRENNER (M.D.) is NPI 1003852815.
Is LOUIS BRENNER (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is LOUIS BRENNER (M.D.)?
The page reflects Family Medicine Physician for LOUIS BRENNER (M.D.). Clinical services aligned with this taxonomy classification.
Where is LOUIS BRENNER (M.D.)'s primary listing?
We display Upland, California because that is what the record indicates for LOUIS BRENNER (M.D.).
Is LOUIS BRENNER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1003852815. Always confirm identity and privileges with the practice and licensing boards.

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