John Michael Brenner

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA068036 Issued in PA

Practice address

315 York St
Corry, PA 16407-1412

Phone

(814) 664-8686

Fax

(814) 664-9826

NPI assigned

Aug 11, 2025

Last updated

Sep 1, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1689559270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RODEO DR",
            "city": "SPRING CREEK",
            "state": "PA",
            "postal_code": "164362829",
            "telephone_number": "814-320-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Rodeo Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Creek",
            "state": "PA",
            "postal_code": "164362829",
            "country_code": "US",
            "telephone_number": "814-320-1563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA068036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Corry, PA
• Providers in Corry, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.