Christian Brenner

Primary specialty

Social WorkerTaxonomy code 104100000X

License

099721 Issued in NY

Practice address

177 Prince St
New York, NY 10012-2946

Phone

(917) 678-7742

NPI assigned

Oct 29, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1407456346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313457",
            "telephone_number": "917-678-7742",
            "fax_number": "718-422-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 PRINCE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122946",
            "telephone_number": "917-678-7742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Sheridan Sq Frnt A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100146847",
            "country_code": "US",
            "telephone_number": "917-678-7742",
            "fax_number": "718-422-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Brennen
• Ana Claudia Brenner Affonso Da Costa, M.D.
• Mei Li Brenner-Herkey, PA-C
• Adam Ross Brenner, MD
• Alex Brenner, MD
• Courtney Brenner
• David Allen Brenner, M.D.
• Grant H Brenner, M.D.
• Helene Sue Brenner, M.S.W.
• Howard Brenner, LMSW

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.