Dr. Sidney Brenner Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR. SIDNEY BRENNER ASSOCIATES

Practice address

2175 Knorr St
Philadelphia, PA 19149-2307

Phone

(215) 624-2491

Fax

(215) 624-4259

NPI assigned

Jul 19, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Paul Brenner, DONPI 1235138769

Title

Partner

Phone

(215) 624-2491

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Paul Brenner, DO

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1235138769
  NPD (past) Authorized official
• Barry Steven Brenner, MD

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1710986369
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639178890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 KNORR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492307",
            "telephone_number": "215-624-2491",
            "fax_number": "215-624-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 KNORR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492307",
            "telephone_number": "215-624-2491",
            "fax_number": "215-624-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SIDNEY BRENNER ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "215-624-2491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0058420001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0268562004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA. BLUE SHIELD",
            "identifier": "0000083477",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.