DR. RICHARD PAUL BRENNER DO NPI 1235138769

NPI Information

NPI: 1235138769
Provider Name: DR. RICHARD PAUL BRENNER, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
2175 KNORR ST
PHILADELPHIA, PA
ZIP 19149
Phone: (215) 624-2491
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DR. Richard Paul Brenner, DO is a general practice in Philadelphia, PA. DR. Richard Paul Brenner, DO NPI is 1235138769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2175 KNORR ST
PHILADELPHIA, PA
ZIP 19149-307
Phone: (215) 624-2491
Fax: (215) 624-4259

The enumeration date for this NPI number is 7/18/2005 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		OS003538L	PENNSYLVANIA	Yes

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
1	0058482000	OTHER	PENNSYLVANIA	INDEPENDENCE BLUE CROSS
2	0268562004	OTHER	PENNSYLVANIA	CIGNA HEALTHCARE
3	138373E36	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
4	E03547	MEDICARE UPIN
5	19355	OTHER	PENNSYLVANIA	AETNAUSHEALTHCARE

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

NPI Synchronization or Removal

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