DRS. Brenner & Mitnick, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N/A

Legal business name

DRS. BRENNER & MITNICK, P.A.

Practice address

5400 Old Court Rd
Suite 105
Randallstown, MD 21133-5100

Phone

(410) 922-1133

Fax

(410) 922-9710

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alan H Mitnick, M.D.NPI 1568407526

Title

V.P/ Owner

Phone

(410) 922-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8653/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Alan H Mitnick, M.D.

  • Pediatrics Physician
  • Randallstown, MD
  • NPI 1568407526
  NPD (past) Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1174565832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 ENGLEMEADE RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081601",
            "telephone_number": "410-484-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 OLD COURT RD",
            "address_2": "SUITE 105",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335100",
            "telephone_number": "410-922-1133",
            "fax_number": "410-922-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BRENNER & MITNICK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "MITNICK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "V.P/ OWNER",
        "authorized_official_telephone_number": "410-922-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383081100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary Catherine Drennan, LCSW-C
• DRS Hicken Cranley Taylor PA
• Zachary Dudley
• Ifeoma Jennifer Dunn, DNP
• Dynamic Apex Inc
• Dynamic Resource Inc.
• Dynamics Nursing Agency Inc

• Pediatrics Physician in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.