Brenner Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012276-1 Issued in NY

Legal business name

BRENNER CHIROPRACTIC PC

Practice address

3351 Park Ave
Wantagh, NY 11793-3716

Phone

(516) 224-7579

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Russell Brenner, D.C.NPI 1245576149

Title

Chiropractor

Phone

(516) 224-7579

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Russell Brenner, D.C.

  • Chiropractor
  • North Bellmore, NY
  • NPI 1245576149

  NY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1174862338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933716",
            "telephone_number": "516-224-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "516-224-7579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012276-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Boyd Schroeder, LCSW
• BR-Eyes LTD
• Ellen Brady, M.S.
• Melissa Nancy Brancati, NP
• Ilyssa Nicole Brass
• Judith Ellen Bresler, PT
• Charles James Briscoe, LMSW
• Jocelyn Renee Bristoll
• Bianca Brito, PHLEBOTOMIST
• Una Mary Broderick, P.T.

• All providers in Wantagh, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.