Individual provider · Type 1 NPI

Brenton Pennicooke, MD

Neurological Surgery Physician · St. Peters, MO

NPI number 1093093064 Active

Practice location

10 Hospital Dr, Dept Neurological Surgery
St. Peters, MO 63376-1659

Call (314) 362-3577 Map

Fax (314) 362-2107

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X2020021408 (MO)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1093093064

Brenton Pennicooke, MD's National Provider Identifier is 1093093064, issued on Jul 25, 2011. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in St. Peters, MO. The record was last updated on Apr 17, 2025.