Gary R. Brendel, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

217665 Issued in NY

Practice address

211 Central Park W
Suite 1K
New York, NY 10024-6020

Phone

(212) 580-2160

Fax

(212) 580-2168

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 15, 2015 through Apr 15, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265579437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CENTRAL PARK W",
            "address_2": "SUITE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246020",
            "telephone_number": "212-580-2160",
            "fax_number": "212-580-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CENTRAL PARK W",
            "address_2": "SUITE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246020",
            "telephone_number": "212-580-2160",
            "fax_number": "212-580-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDEL",
        "first_name": "GARY",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "217665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Brem
• Tameka K Bremmer, APRN
• Brenda a. Tully, LCSW
• Brendan Martin Physical Therapy PLLC
• Elizabeth A Brendel, RPH
• Cara Brendler, LCSW
• Alyssa Nicole Breneman
• Michael Brener, MD
• Samantha Brener, PA-C
• Melissa Regina Brenman, MHC-LP

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.