Active NPI
William C. Brender MD, PC
- Specialist
- Glens Falls, NY
National Provider Identifier
1003925686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 149722-1
- Legal business name
- WILLIAM C. BRENDER MD, PC
- Practice address
- 115 Maple St
Glens Falls, NY 12801-3630 - Phone
- (518) 793-1338
- Fax
- (518) 798-5924
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William C Brender, MD
- Title
- Owner
- Phone
- (518) 793-1338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 149722-1 | NY | Primary |
Addresses
Primary practice location
115 Maple St
Glens Falls, NY 12801-3630
Mailing address
115 Maple St
Glens Falls, NY 12801-3630
Phone (518) 793-1338
Other names 1
- Adirondack Plastic Surgery
National Provider Directory
National Provider DirectoryLocations
115 Maple St
Glens Falls, NY 12801
Phone (518) 761-9500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003925686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MAPLE ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128013630",
"telephone_number": "518-793-1338",
"fax_number": "518-798-5924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MAPLE ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128013630",
"telephone_number": "518-793-1338",
"fax_number": "518-798-5924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM C. BRENDER MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRENDER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-793-1338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "149722-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adirondack Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.