DAVID ALBERT BRENNER (MD) – Neurology Physician, NPI 1124072475

DAVID ALBERT BRENNER (MD) is a healthcare provider. based in Johnson city, Tennessee. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 71049 (GA). The NPI Number for DAVID ALBERT BRENNER (MD) is 1124072475

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DAVID ALBERT BRENNER (MD)
NPI
1124072475
Phone
(423) 302-6565
Address
1021 W OAKLAND AVE STE 310
Enumeration Date
20 May 2006
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
7702241000
Graduation Year
2000 (26 years ago)
PAC ID
3476552399
Group Practice PAC ID
0840291944
Professional Enrollment ID
I20240807000303
Address ID
GA301158015CA450XXBLVD400

Contacts

Secure Messaging
dbrenner864653@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:20State licenses:4Other namesUpdated within 12 months

609 NEUROLOGY in TN

Provider Addresses for DAVID ALBERT BRENNER (MD)

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 302-6565

    Type: Mailing

  • 1 MEDICAL PARK BLVD

    BRISTOL, TN 376207430

    Phone: (423) 844-1121

    Type: Location

  • 509 Brookwood Blvd

    Suite 121

    Birmingham, AL 352096801

    Phone: (205) 874-8888

    Fax: (205) 874-8880

    Type: Location

  • 101 W 8th Ave

    Spokane, WA 992042307

    Phone: (509) 474-2894

    Fax: (509) 227-7070

    Type: Location

  • 1321 Colby Ave

    Everett, WA 982011665

    Phone: (425) 261-2000

    Fax: (425) 261-4078

    Type: Location

  • 450 Northside Cherokee Blvd

    Canton, GA 301158015

    Phone: (770) 224-1000

    Fax: (770) 224-2451

    Type: Location

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (509) 747-2455

    Type: Mailing

  • Providence Sacred Heart Medical Center and Children's Hospital, 101, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States

    SPOKANE, WA 992042307

    Phone: (509) 474-2894

    Fax: (509) 227-7070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $600.

Total Amount is formed as General ($600) + Research ($0) + Ownership ($0) = $600.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($600).

Total Amount

$600

General + Research + Ownership

Payments

64

Total payment records

General Amount

$600

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: 2024-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20061204000160INeurologyALTBD
I20240807000303INeurologyGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5128$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4948$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3018$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
95816Measurement of brain wave activity (eeg), awake and drowsy1313$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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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: 0840291944View full group profile
NameSpecialtyState
Internal MedicineGA
H O S P I T A L I S TGA
P S Y C H I A T R YGA
-GA
-GA
Hospice/Palliative Care, Hospitalist, Internal MedicineGA
Hospitalist, Internal MedicineGA
Hospitalist, Internal MedicineTN
-GA
H O S P I T A L I S TGA

Reviews

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Frequently asked questions

Is DAVID ALBERT BRENNER (MD) listed with a National Provider Identifier?
Yes — DAVID ALBERT BRENNER (MD) has NPI 1124072475 on file in the registry.
Would DAVID ALBERT BRENNER (MD) appear as active to a payer?
You can treat DAVID ALBERT BRENNER (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DAVID ALBERT BRENNER (MD)?
At a glance, DAVID ALBERT BRENNER (MD) is tied to Neurology Physician. Clinical services aligned with this taxonomy classification.
Is DAVID ALBERT BRENNER (MD) located near Johnson City?
DAVID ALBERT BRENNER (MD) currently maps to Johnson City, Tennessee in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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