NPI 1093093064
Brenton Pennicooke, MD
Practice location
- Address
- 10 Hospital Dr Dept Neurological Surgery, Saint Peters, MO 63376-1659
- Phone
- (314) 362-3577
- Fax
- (314) 362-2107
- Mailing address
- PO Box 7412011, Chicago, IL 60674-2011
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1093093064
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jul 2011
- Record last updated
- 17 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.