George R. Brengel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101031183 Issued in VA

Practice address

9220 Forest Hill Ave
Suite 1-a
Richmond, VA 23235-6800

Phone

(804) 560-8838

Fax

(804) 560-3527

NPI assigned

Jun 30, 2006

Last updated

Jan 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bon Secours St Mary's Hospital of Richmond LLC

  dba Bon Secours Associated Internists

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1417255365
  NPD (past)
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours Infectious Disease Specialists

  • Infectious Disease Physician
  • Richmond, VA
  • NPI 1063772143
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1154359792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 FOREST HILL AVE",
            "address_2": "SUITE 1-A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356800",
            "telephone_number": "804-560-8838",
            "fax_number": "804-560-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 FOREST HILL AVE",
            "address_2": "SUITE 1-A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356800",
            "telephone_number": "804-560-8838",
            "fax_number": "804-560-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENGEL",
        "first_name": "GEORGE",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101031183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "113448",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "272177",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010016452",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110199910",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE",
            "identifier": "5430444",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9213100",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "5430444",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "214490",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "45862",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Edward Brehmer, M.D.
• Tressa Breindel, LAC, DIPL. OM
• Deborah Bremer, PSYD
• Meredith Linder Bremer, PHARMD
• Rachel Brenegar, CCC-SLP
• Matthew Lester Brengman, MD
• James F Brennan, M.D.
• Shannon Murray Brennan, AGPCNP-BC
• Michele L Brenner-Vincent, M.D.
• Amy Virginia Brenner, FNP

• Internal Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.