Individual provider · Type 1 NPI

Ryan Albert Brenneis, MD

Student in an Organized Health Care Education/Training Program · Edmonton, CA

NPI number 1285573238 Active

Practice location

8440 112 St NW
Edmonton, CA T6G2X8

Mailing address

11415 33A Avenue NW
Edmonton, ALBERTA T6J3H2

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285573238

Ryan Albert Brenneis, MD's National Provider Identifier is 1285573238, issued on Mar 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edmonton, CA. The record was last updated on Oct 12, 2026.