Active NPI
Scott A Brenman, MD
- Plastic Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD028290E
- Practice address
- 800 Spruce St
10TH Floor, Spruce Building
Philadelphia, PA 19107-6130 - Phone
- (215) 829-7290
- Fax
- (215) 829-5430
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD028290E | PA | Primary |
Addresses
Primary practice location
800 Spruce St
10TH Floor, Spruce Building
Philadelphia, PA 19107-6130
Mailing address
800 Spruce Street
10TH Floor-Spruce Building
Philadelphia, PA 19107-6130
Phone (215) 829-7290
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0486098 | Other | PA | HIGHMARK BLUE SHIELD |
| 0030864000 | Other | PA | IBC |
| 0094685 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040219000332 | PA | Practitioner - Plastic and Reconstructive Surgery | 1153216072 | Reassigns benefits to 2 organizations |
| I20260127002406 | NJ | Practitioner - Plastic and Reconstructive Surgery | 1153216072 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Schweiger Dermatology PCPennsylvania Centre for Dermatology, LLC
Practice addresses (Care Compare)
420 Front St
Elmer, NJ 08318-2177
Phone (212) 283-3000
822 Pine St
Philadelphia, PA 19107-6187
Phone (267) 687-2180
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 64 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD028290E | PA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Centre for Dermatology, LLC | Current | Accepting new patients | |
| Schweiger Dermatology, PC | Current | Accepting new patients | |
| Pennsylvania Centre for Plastic Surgery, PC | Current | Accepting new patients | |
| Angela Kanner Psychotherapy Services Inc | Past | Accepting new patients | |
| Advanced Dermatology of Pennsylvania, PC | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Andrew K Pollack | Past | Accepting new patients |
Locations
8001 Route 130
Delran, NJ 08075
Phone (856) 461-1400
712 E Bay Ave
Ste 18
Manahawkin, NJ 08050
50 Monument Rd
Ste 301
Bala Cynwyd, PA 19004
Phone (610) 668-2570
800 Spruce St
Fl 10
Philadelphia, PA 19107
Phone 2157327600102
822 Pine St
Ste 2A
Philadelphia, PA 19107
Phone (267) 519-0154
822 Pine St
Ste 3B
Philadelphia, PA 19107
Phone (215) 829-7290
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1295866697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SPRUCE STREET",
"address_2": "10TH FLOOR-SPRUCE BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-829-7290",
"fax_number": "215-829-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SPRUCE ST",
"address_2": "10TH FLOOR, SPRUCE BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-829-7290",
"fax_number": "215-829-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENMAN",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD028290E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "0486098",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0030864000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0094685",
"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 Jan 12, 2011; 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.
- 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.