Individual provider Active NPI

Michael F Reny, BS

  • Medical Physician Assistant
  • Brunswick, ME
National Provider Identifier
1649258393
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1038302 Issued in ME
Practice address
650 Sewall St
Branch Health Clinic Naval Air Station
Brunswick, ME 04011-5011
Phone
(207) 921-1820
Fax
(207) 921-2992
NPI assigned
Jan 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1038302 ME Primary

Addresses

Primary practice location

650 Sewall St
Branch Health Clinic Naval Air Station
Brunswick, ME 04011-5011

Mailing address

43 Smith Road
Professional Affairs
Newport, RI 02841-1002
Phone (401) 841-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1038302MEMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649258393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SMITH ROAD",
            "address_2": "PROFESSIONAL AFFAIRS",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411002",
            "telephone_number": "401-841-4522",
            "fax_number": "401-841-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SEWALL ST",
            "address_2": "BRANCH HEALTH CLINIC NAVAL AIR STATION",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040115011",
            "telephone_number": "207-921-1820",
            "fax_number": "207-921-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENY",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "1038302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.