Dr Paul Bradley Renner, MD is a
Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in St Peter, Minnesota. Dr Paul Bradley Renner is licensed to practice in Minnesota (license number 35160) and his current practice location is 100 Freeman Dr, St Peter, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 931-7100.
NPI number for Dr Paul Bradley Renner is 1326026790 and his current mailing address is 100 Freeman Dr, St Peter, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326026790.
Physician's Profile
| Full Name | Dr Paul Bradley Renner |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 100 Freeman Dr, St Peter, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326026790
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Paul Bradley Renner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326026790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35160 (Minnesota) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 35160 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Bradley Renner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Paul Bradley Renner, MD
100 Freeman Dr,
St Peter, MN 56082-3504
Ph: (507) 931-7100 | Dr Paul Bradley Renner, MD
100 Freeman Dr,
St Peter, MN 56082-3504
Ph: (507) 931-7100 |
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