Active NPI
Jeffrey C. Brendlinger, D.O.
- Pediatrics Physician
- Wyomissing, PA
National Provider Identifier
1720085715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS011076L
- Practice address
- 40 Berkshire CT
Wyomissing, PA 19610-1224 - Phone
- (610) 374-7400
- Fax
- (610) 374-4252
- NPI assigned
- Jul 5, 2005
- Reactivated
- Jan 5, 2007
- Last updated
- Aug 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS011076L | PA | Primary |
Addresses
Primary practice location
40 Berkshire CT
Wyomissing, PA 19610-1224
Mailing address
1587 Potter Drive
Pottstown, PA 19464
Phone (610) 326-5822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001840149 | Medicaid | PA |
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
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS011076L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Reading Hospital | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jbrendlinger@readingpediatrics.opdirect.net
Organizations & group practices 3
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.
-
dba Reading Hospital Outpatient Behavioral Health Services
- General Acute Care Hospital
- West Reading, PA
- NPI 1669530069
Pediatrics
-
- Pediatrics Physician
- Wyomissing, PA
- NPI 1477590727
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1720085715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1587 POTTER DRIVE",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "19464",
"telephone_number": "610-326-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BERKSHIRE CT",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101224",
"telephone_number": "610-374-7400",
"fax_number": "610-374-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENDLINGER",
"first_name": "JEFFREY",
"middle_name": "C.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2010-08-12",
"deactivation_date": "2005-08-31",
"reactivation_date": "2007-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS011076L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001840149",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.