Organization Active NPI

William C. Brender MD, PC

  • Specialist
  • Glens Falls, NY
National Provider Identifier
1003925686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
149722-1 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.