Individual provider Active NPI

George A Brener, MD

  • Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1487778387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME31730 Issued in FL
Practice address
2035 La Porte Dr
Palm Beach Gardens, FL 33410-1282
Phone
(561) 624-1789
Fax
(561) 624-1790
NPI assigned
Mar 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME31730 FL Primary

Addresses

Primary practice location

2035 La Porte Dr
Palm Beach Gardens, FL 33410-1282

Mailing address

2035 La Porte Dr
Palm Beach Gardens, FL 33410-1282
Phone (561) 624-1789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726001389 FL Order and Referring Only - General SurgeryPractitioner - General Surgery 4385937572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487778387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LA PORTE DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101282",
            "telephone_number": "561-624-1789",
            "fax_number": "561-624-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LA PORTE DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101282",
            "telephone_number": "561-624-1789",
            "fax_number": "561-624-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENER",
        "first_name": "GEORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME31730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.