Richard Stephen Brenner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001748 Issued in PA

Practice address

469 Lawrence Rd
Broomall, PA 19008-3747

Phone

(610) 353-2121

Fax

(610) 353-4936

NPI assigned

Mar 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1386774008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 LAWRENCE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083747",
            "telephone_number": "610-353-2121",
            "fax_number": "610-353-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 LAWRENCE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083747",
            "telephone_number": "610-353-2121",
            "fax_number": "610-353-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "RICHARD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000545780",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace F Bowler, AS
• Ann Marie Daly Bradley, CRNP
• Michele Bramley, CRNP
• Ashley Brawley
• Jennifer Mary Brennan, AGNPPC-BC
• Mark Prince Brigham, M.D.
• David Christopher Brooks, M.D., PH.D.
• Laura Winsor Brooks, P.A.
• Broomall Care Center LLC
• Broomall Dental Health PC

• Optometrist in Broomall, PA
• Providers in Broomall, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.

Verify at the official NPI Registry.