Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark J Brenner

Individual provider Orthopedic Physical Therapist · NPI 1558764365

Mark J Brenner is a Physical Therapist in Private Practice in Fargo, North Dakota. Qualified in 1989, 37 years ago. Practices with Professional Rehabilitation Center Inc, a 12-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
37
Licensed in
ND
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1702 University Dr S
Fargo, ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 234-7452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0818 (ND)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 0818 (ND)

Record details

NPI number1558764365
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 7, 2014
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022
Mailing address1702 University Dr S, Fargo, ND 58103-4940

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Professional Rehabilitation Center Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fargo