Russell Brenner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012276-1 Issued in NY

Practice address

2468 N Jerusalem Rd Ste 15
North Bellmore, NY 11710-1122

Phone

(516) 208-6123

Fax

(516) 208-6122

NPI assigned

Dec 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast College of Health SciencesGroup PAC ID 3779474549, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brenner Chiropractic PC

  • Chiropractor
  • Wantagh, NY
  • NPI 1174862338
  Medicare reassignment Authorized official
• Northeast College of Health Sciences

  • Chiropractor
  • Seneca Falls, NY
  • NPI 1487715975
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1245576149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705100",
            "telephone_number": "516-224-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2468 N JERUSALEM RD STE 15",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101122",
            "telephone_number": "516-208-6123",
            "fax_number": "516-208-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012276-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bowen, CCC/SLP
• Gerald Joseph Bowen, LCSW
• Boycore Lab and Supplies Inc
• Irina Boytseva
• Bravo Speech Therapy Services P.C.
• Nicholas G Brescia, R.PH.
• Margaret Alicia Briceland, MS
• Randi L Brill, LMSW
• Justine Marie Brown, LCAT ATR-BC CASAC2
• Roberta G Brown, OTR/L

• Chiropractor in North Bellmore, NY
• Providers in North Bellmore, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.