Stephen M Brenner, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

090574-1 Issued in NY

Practice address

1 Christie Place, #407
Scarsdale, NY 10583-0000

Phone

(914) 723-9113

Fax

(718) 601-5642

NPI assigned

Jun 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1245234202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHRISTIE PL # 407",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105838302",
            "telephone_number": "914-723-9113",
            "fax_number": "718-601-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHRISTIE PLACE, #407",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105830000",
            "telephone_number": "914-723-9113",
            "fax_number": "718-601-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "090574-1",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "090574-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00187514",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001434719",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Wesley Brandt-Rauf, M.D.
• Laura Bratton
• J. Eduardo Bravo, AU.D.
• Breakthrough Marriage and Family Therapy PLLC
• Jennifer Breen, M.A. CCC-SLP TSSH
• Diana Marie Brescia, M.S. CCC-SLP, TSSLD
• Elisabeth Shedrick Brew, LMSW
• Rachel Brief
• Steven A. Brisman, D.M.D.
• Patricia M Bronzert, M.D.

• Gastroenterology Physician in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.