DR. CHRISTOPHER BRENNER (MD) – Family Medicine Physician, NPI 1629020102

DR. CHRISTOPHER BRENNER (MD) is a healthcare provider. based in Countryside, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036073572 (IL). The NPI Number for DR. CHRISTOPHER BRENNER (MD) is 1629020102

Main info

Male
41 Years Of Experience
Name
DR. CHRISTOPHER BRENNER (MD)
NPI
1629020102
Phone
(708) 352-6166
Address
9910 W 55TH ST
Enumeration Date
16 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
3317752783
Graduation Year
1985 (41 years ago)
PAC ID
7810986874
Group Practice PAC ID
6901141498
Professional Enrollment ID
I20040506001247
Address ID
IL605162000DO412XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. CHRISTOPHER BRENNER (MD)

  • 9910, West 55th Street, Countryside, Lyons Township, Cook County, Illinois, 60525, United States

    COUNTRYSIDE, IL 605253612

    Phone: (708) 352-6166

    Fax: (708) 352-3864

    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)

CMS reports 8 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Exact Sciences Corporation ($19).

Total Amount

$138

General + Research + Ownership

Payments

8

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-05-06

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
I20040506001247IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes283193$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit161161$0
99213Established patient office or other outpatient visit, 20-29 minutes140118$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month9822$0
G0008Administration of influenza virus vaccine4343$0
View full utilization report →

Insurance plans in this area (ZIP 60525)

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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: 6901141498View full group profile
NameSpecialtyState
Internal MedicineIL
Nurse PractitionerIL
Internal MedicineIL
Internal MedicineIL

Reviews

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Frequently asked questions

Is DR. CHRISTOPHER BRENNER (MD) listed with a National Provider Identifier?
Yes — DR. CHRISTOPHER BRENNER (MD) has NPI 1629020102 on file in the registry.
Is there an active status for DR. CHRISTOPHER BRENNER (MD)?
For scheduling context, DR. CHRISTOPHER BRENNER (MD) is shown as active in the registry.
What clinical focus is listed for DR. CHRISTOPHER BRENNER (MD)?
At a glance, DR. CHRISTOPHER BRENNER (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. CHRISTOPHER BRENNER (MD) registered?
Use Countryside, Illinois as the headline location for DR. CHRISTOPHER BRENNER (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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