PENNSYLVANIA CENTRE FOR PLASTIC SURGERY PC NPI 1174728802

NPI Information

  • NPI: 1174728802
  • Provider Name: PENNSYLVANIA CENTRE FOR PLASTIC SURGERY, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 800 SPRUCE ST
    10TH FLOOR, SPRUCE BUILDING
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 829-7290

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NPI Details

PENNSYLVANIA CENTRE FOR PLASTIC SURGERY, PC is a specialist in Philadelphia, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PENNSYLVANIA CENTRE FOR PLASTIC SURGERY, PC NPI is 1174728802. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 SPRUCE ST
10TH FLOOR, SPRUCE BUILDING
PHILADELPHIA, PA
ZIP 19107-130
Phone: (215) 829-7290
Fax: (215) 829-5430

The provider's authorized official is Scott Alan Brenman .
The authorized official title is Plastic Surgeon and has the following contact phone number (215) 829-7290.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 5/9/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD028290EPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10181250000OTHERPENNSYLVANIAIBC
20608329OTHERPENNSYLVANIAAETNA
3413987MEDICARE PINPENNSYLVANIA
4CD9419MEDICARE PINPENNSYLVANIA
50413987OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD

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: 11/21/2025

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