Pennsylvania Centre for Plastic Surgery, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD028290E Issued in PA

Legal business name

PENNSYLVANIA CENTRE FOR PLASTIC SURGERY, PC

Practice address

800 Spruce St
10TH Floor, Spruce Building
Philadelphia, PA 19107-6130

Phone

(215) 829-7290

Fax

(215) 829-5430

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Scott Alan Brenman, M.D.NPI 1295866697

Title

Plastic Surgeon

Phone

(215) 829-7290

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 4

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

• Scott A Brenman, MD

  • Plastic Surgery Physician
  • Philadelphia, PA
  • NPI 1295866697
  Medicare reassignment NPD Authorized official
• Angela Kanner

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1922587492
  NPD (past)
• Adrian K Lo, M.D.

  • Specialist
  • Philadelphia, PA
  • NPI 1629284757
  NPD (past)
• Maja T Mapp-Luke, LPC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1275364747
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1174728802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "address_2": "10TH FLOOR, SPRUCE BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-7290",
            "fax_number": "215-829-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "address_2": "10TH FLOOR, SPRUCE BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-7290",
            "fax_number": "215-829-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA CENTRE FOR PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "BRENMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "215-829-7290",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD028290E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0608329",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "0413987",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0181250000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.