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Dr. Brenton Pennicooke

Neurosurgeon

4921 Parkview Pl Dept Neurological Surgery, Ste 6b/6c
Saint Louis , Missouri 63110-1032

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Dr. Brenton Pennicooke

Neurosurgeon

4921 Parkview Pl Dept Neurological Surgery, Ste 6b/6c
Saint Louis , Missouri 63110-1032

(314) 362-2107

Write a Review Save Call

Dr. Brenton Pennicooke

Neurosurgeon

4921 Parkview Pl Dept Neurological Surgery, Ste 6b/6c
Saint Louis , Missouri 63110-1032

(314) 362-2107 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Neurosurgeon

Languages spoken

  • English

Location

4921 Parkview Pl Dept Neurological Surgery, Ste 6b/6c Saint Louis , Missouri 63110-1032

First Address

  • Dr. Brenton Pennicooke
  • 660 S Euclid Ave Cb 8057
  • Saint Louis, MO
  • Zip : 63110-1010
  • Fax : (314) 362-2107
  • Phone : (314) 747-6174

Second Address

  • Dr. Brenton Pennicooke
  • 4921 Parkview Pl Dept Neurological Surgery, Ste 6b/6c
  • Saint Louis, MO
  • Zip : 63110-1032
  • Fax : (314) 367-2017
  • Phone : (314) 362-3577

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FAQs


Where did Dr. Brenton Pennicooke attend graduate school?

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Where did Dr. Brenton Pennicooke do his residency?

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Where did Dr. Brenton Pennicooke do his fellowship?

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Is Dr. Brenton Pennicooke board certified?

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What type of doctor is Dr. Brenton Pennicooke

Neurosurgeon

In what state does Dr. Brenton Pennicooke practice in?

Missouri

Where is Dr. Brenton Pennicooke ’s practice located?

4921 Parkview Pl Dept Neurological Surgery, Ste 6b/6c , Saint Louis, Missouri, 63110-1032

What is Dr. Brenton Pennicooke ’s gender?

Male

Is Dr. Brenton Pennicooke a sole practitioner?

No

Is Dr. Brenton Pennicooke accepting new patients?

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What languages does Dr. Brenton Pennicooke speak?

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Does Dr. Brenton Pennicooke accept insurance?

Yes, Dr. Brenton Pennicooke accepts insurance

Does Dr. Brenton Pennicooke offers telemedicine?

Dr. Brenton Pennicooke has not indicated if he offers telemedicine

What is Dr. Brenton Pennicooke ’s professional license number?

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What is Dr. Brenton Pennicooke ’s NPI number?

1093093064

Does Dr. Brenton Pennicooke have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207T00000X Neurosurgeon 2020021408 MO

National Provider Identifier

NPI 1093093064
Provider Name Dr. Brenton Pennicooke
First Address Saint Louis, MO 63110-1010
Second Address Saint Louis, MO 63110-1032
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/07/2011
Last Update Date 25/01/2022

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
200085861 (05) MO

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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