Individual provider Active NPI

Brett A Brechner, DO

  • Family Medicine Physician
  • Crown Point, IN
National Provider Identifier
1629079108
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02002495A Issued in IN
Practice address
9150 E 109TH Ave
Suite 2a
Crown Point, IN 46307-7687
Phone
(219) 226-1529
Fax
(219) 226-2994
NPI assigned
Aug 9, 2005
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02002495A IN Primary

Addresses

Primary practice location

9150 E 109TH Ave
Suite 2a
Crown Point, IN 46307-7687

Mailing address

9150 E 109TH Ave
Suite 2a
Crown Point, IN 46307-7687
Phone (219) 226-1529

Other identifiers 1

IdentifierTypeStateIssuer
200380090MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040804000103 IN Practitioner - Family Practice 6002887049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Osteopathy, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, shared by 17 NPIs, 325 clinicians
Nwi Mdvip LLCGroup PAC ID 0042683690, 2 clinicians

Practice addresses (Care Compare)

1300 Lincolnway
Valparaiso, IN 46383-5824

9150 E 109TH Ave
Suite 2B
Crown Point, IN 46307-7686
Phone (219) 312-2947

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002495AINMDFamily Medicine Physician
3747OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Care Solutions P.C. CurrentSince Mar 22, 2025 Accepting new patients
Nwi Mdvip LLC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Winfield Family Medicine LLC Family Medicine CurrentSince Jun 1, 2006 Accepting new patients
Pinnacle Healthcare, LLC Family Medicine CurrentSince Mar 6, 2017 Accepting new patients
St. Mary Medical Center Inc Family Medicine Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients

Locations

8833 Gross Point Rd
Ste 300
Skokie, IL 60077
Phone (773) 501-2361

10607 Randolph St
Ste A
Crown Point, IN 46307
Phone (219) 226-1529

9150 E 109th Ave
Ste 2A
Crown Point, IN 46307
Phone (219) 226-1529

9150 E 109th Ave
Ste 2B
Crown Point, IN 46307
Phone (219) 312-2947

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888

303 S Main St
Ste 200
Mishawaka, IN 46544
Phone (574) 256-9790

2640 Hamstrom Rd
Portage, IN 46368
Phone (219) 359-3364

Interoperability endpoints

  • Direct secure messaging: brett.brechner@wfml-in.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/18290/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pinnacle HospitalCrown Point, IN, CCN 150166 Hospital Corporate Officer Feb 24, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1629079108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE",
            "address_2": "SUITE 2A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077687",
            "telephone_number": "219-226-1529",
            "fax_number": "219-226-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE",
            "address_2": "SUITE 2A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077687",
            "telephone_number": "219-226-1529",
            "fax_number": "219-226-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECHNER",
        "first_name": "BRETT",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002495A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200380090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.