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DR. GARY JAY BRENNER MD PHD NPI 1447240627


NPI Information

NPI: 1447240627
Provider Name: DR. GARY JAY BRENNER, MD PHD
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

Organization: MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC

PECOS Registration: Yes

Address:
55 FRUIT ST
CLN 3
BOSTON, MA
ZIP 02114
Phone: (617) 726-8810
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DR. Gary Jay Brenner, MD PHD is a pain medicine anesthesiology in Boston, MA with 29 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Gary Jay Brenner, MD PHD NPI is 1447240627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year:1995

The provider's business location address is:

55 FRUIT ST
CLN 3
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-8810
Fax: (617) 724-3632

The NPI 1447240627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injections of substances into lower or sacral spine (HCPCS:62311)

The enumeration date for this NPI number is 10/27/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain Medicine160622MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J22624OTHERMASSACHUSETTSBCBS MA
2A31288MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
30121681MEDICAIDMASSACHUSETTS
4H19610MEDICARE UPIN
5I60622OTHERMASSACHUSETTSTUFTS HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.