Active NPI
Richard Paul Brenner, DO
- General Practice Physician
- Philadelphia, PA
National Provider Identifier
1235138769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS003538L
- Practice address
- 2175 Knorr St
Philadelphia, PA 19149-2307 - Phone
- (215) 624-2491
- Fax
- (215) 624-4259
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS003538L | PA | Primary |
Addresses
Primary practice location
2175 Knorr St
Philadelphia, PA 19149-2307
Mailing address
2175 Knorr St
Philadelphia, PA 19149-2307
Phone (215) 338-6703
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268562004 | Other | PA | CIGNA HEALTHCARE |
| 0058482000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 19355 | Other | PA | AETNAUSHEALTHCARE |
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS003538L | PA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Sidney Brenner Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1639178890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235138769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 KNORR ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492307",
"telephone_number": "215-338-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 KNORR ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492307",
"telephone_number": "215-624-2491",
"fax_number": "215-624-4259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "RICHARD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "OS003538L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "0268562004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0058482000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNAUSHEALTHCARE",
"identifier": "19355",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.