MARK J BRENNER MD NPI 1902873409

NPI Information

  • NPI: 1902873409
  • Provider Name: MARK J BRENNER, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 EATON PL STE 100
    WORCESTER, MA
    ZIP 01608
  • Phone: (508) 363-6881

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NPI Details

Mark J Brenner, MD is a diagnostic radiology radiology in Worcester, MA with 44 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark J Brenner, MD NPI is 1902873409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

1 EATON PL STE 100
WORCESTER, MA
ZIP 01608
Phone: (508) 363-6881
Fax: (508) 363-7170

The NPI 1902873409 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.

  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complex radiation therapy planning (HCPCS:77263)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Design and construction of intermediate radiation treatment device (HCPCS:77333)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • 3d radiation therapy planning (HCPCS:77295)
  • Special radiation treatment (HCPCS:77470)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)

The enumeration date for this NPI number is 3/2/2006 and was last updated on 4/22/2025.

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
12085R0001XRadiologyRadiation OncologyD0041640MARYLANDNo
22085R0202XRadiologyDiagnostic Radiology54099MASSACHUSETTSYes

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
1110085074AMEDICAIDMASSACHUSETTS
2920007556OTHERMARYLANDRAILROAD MEDICARE
3168741700MEDICAIDMARYLAND
4920004528OTHERMARYLANDRR MEDICARE

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: 3/30/2025

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