Provider Demographics
NPI:1265606354
Name:BRENER, SETH ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:ADAM
Last Name:BRENER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:5202 POCAHONTAS ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4914
Mailing Address - Country:US
Mailing Address - Phone:713-907-7590
Mailing Address - Fax:
Practice Address - Street 1:12746 W JEFFERSON BLVD STE 2000
Practice Address - Street 2:
Practice Address - City:PLAYA VISTA
Practice Address - State:CA
Practice Address - Zip Code:90094-2776
Practice Address - Country:US
Practice Address - Phone:424-315-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1117011207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine