John F. Brenner, D.O., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F6476 Issued in TX

Legal business name

JOHN F. BRENNER, D.O., P.A.

Practice address

1650 W Magnolia Ave
Suite 207
Fort Worth, TX 76104-4009

Phone

(817) 923-4200

Fax

(817) 923-4201

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

John F. Brenner, D.O.

Title

Chairman

Phone

(817) 923-4200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1356670517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044009",
            "telephone_number": "817-923-4200",
            "fax_number": "817-923-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044009",
            "telephone_number": "817-923-4200",
            "fax_number": "817-923-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. BRENNER, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "817-923-4200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F6476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayann Johanson, LPC-A, M.ED.
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• John Peter Smith Health Network
• John Peter Smith Hospital

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.