NPIMap

Individual provider Active NPI

Jonathan H Brenner, M.D., M.P.H

  • Pediatrics Physician
  • Braintree, MA
National Provider Identifier
1053501189
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
231894 Issued in MA
Practice address
340 Wood Rd
Suite 301
Braintree, MA 02184-2401
Phone
(781) 356-6200
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 231894 MA Primary

Addresses

Primary practice location

340 Wood Rd
Suite 301
Braintree, MA 02184-2401

Mailing address

340 Wood Rd
Suite 301
Braintree, MA 02184-2401
Phone (781) 356-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Milton Pediatric Associates LLC Pediatrics Past Accepting new patients
The General Hospital Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brenner.jonathan.mpa@direct.partners.masshiway.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1053501189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WOOD RD",
            "address_2": "SUITE 301",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842401",
            "telephone_number": "781-356-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WOOD RD",
            "address_2": "SUITE 301",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842401",
            "telephone_number": "781-356-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "JONATHAN",
        "middle_name": "H",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "231894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.