Jack Leon Brenner, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

106478 Issued in NY

Practice address

1974 Maple Hill Street
Suite 6
Yorktown Heights, NY 10598

Phone

(914) 962-5596

Fax

(914) 962-5919

NPI assigned

Dec 4, 2006

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jack L. Brenner Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westchester Putnam Gastroenterology PCGroup PAC ID 9537059845, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJIHCA
• FHIR API: https://fhir4.healow.com/fhir/r4/EJIHCA/Endpoint/EJIHCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westchester Putnam Gastroenterology P.C.

  • Internal Medicine Physician
  • Carmel, NY
  • NPI 1740298405
  Medicare reassignment Care Compare group NPD
• Putnam Gi, LLC

  dba Putnam Endoscopy ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Carmel, NY
  • NPI 1215211552
  Medicare reassignment NPD
• Jack L Brenner MD PC

  • Gastroenterology Physician
  • Yorktown HTS, NY
  • NPI 1417268046
  Authorized official Same address or phone
• Nuvance Health Medical Practice PC

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1437358033
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Westchester Hospital Association

  dba Northern Westchester Hospital Transitional Care Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Kisco, NY
  • NPI 1396178356
  Care Compare affiliation
• Northern Westchester Hospital Association

  dba Northern Westchester Hospital

  • General Acute Care Hospital
  • Mount Kisco, NY
  • NPI 1912992215
  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1033287347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 MAPLE HILL ST",
            "address_2": "SUITE 6",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984190",
            "telephone_number": "914-962-5596",
            "fax_number": "914-962-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 MAPLE HILL STREET",
            "address_2": "SUITE 6",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "914-962-5596",
            "fax_number": "914-962-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "JACK",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "106478",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "106478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "BRENNER",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amber Leah Brady, PTA
• Margaret V Brady, FNP
• Bruce A Brandolin, DDS
• Cynthia Strand Braun, MD
• Mark G Brauning, MD
• Bridges 4 Independence, LLC
• Brightway Dental PC (Brightway Dental)
• Andrea Britvan
• Beth Shapiro Bromberg, MD
• Heidi Brooks, PHD, IBCLC

• Gastroenterology Physician in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.