Kevin Brenner, MD, a Medical Corporation

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A79032 Issued in CA

Legal business name

KEVIN BRENNER, MD, A MEDICAL CORPORATION

Practice address

465 North Roxbury Drive
Suite 800
Beverly Hills, CA 90210

Phone

(310) 777-5400

Fax

(310) 388-5352

NPI assigned

Mar 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Brenner, MDNPI 1982716247

Title

President

Phone

(310) 777-5400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Alan Brenner, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1982716247
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1023433836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 NORTH ROXBURY DRIVE",
            "address_2": "SUITE 800",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-777-5400",
            "fax_number": "310-388-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 NORTH ROXBURY DRIVE",
            "address_2": "SUITE 800",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-777-5400",
            "fax_number": "310-388-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN BRENNER, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-777-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A79032",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A79032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mkhail Keselbrener
• Dennis Kessler, O.M.D., L.AC.
• Rachel K Kessler, PH.D.
• Ari Garrett Kestenberg, MD
• Hanna Ketai, LMFT
• Kevin Hickman Crna Nursing Inc
• Kevin Frank Kevorkian, MD
• KG Home Care Services LLC (1Heart Caregiver Services Beverly Hills)
• Alan Omid Khadavi, MD
• Mariam Khalatian

• Plastic and Reconstructive Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.