Individual provider Active NPI

John F. Brenner, D.O.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1780784223
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F6476 Issued in TX
Practice address
1650 W Magnolia Ave
Suite 207
Fort Worth, TX 76104-4009
Phone
(817) 923-4200
Fax
(817) 923-4201
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F6476 TX Primary

Addresses

Primary practice location

1650 W Magnolia Ave
Suite 207
Fort Worth, TX 76104-4009

Mailing address

1650 W Magnolia Ave
Suite 207
Fort Worth, TX 76104-4009
Phone (817) 923-4200

Other identifiers 1

IdentifierTypeStateIssuer
097788602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050303000672 TX Practitioner - HospitalistPractitioner - Internal Medicine 2769436609 Reassigns benefits to 3 organizations
I20231030000824 ME Practitioner - Internal Medicine 2769436609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Aroostook Medical CenterGroup PAC ID 1153233663, 117 clinicians

Practice addresses (Care Compare)

140 Academy St
Presque Isle, ME 04769-3102

146 Academy St
Presque Isle, ME 04769-3102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
71.56
Promoting interoperability
96
Improvement activities
40
Cost
76.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Aroostook Medical Center CurrentSince Dec 3, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
The Aroostook Medical Center CurrentSince Dec 3, 2023 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 15, 2015 Accepting new patients
Weatherford Inpatient Physician Association, P. a. Internal Medicine Past Accepting new patients

Locations

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

9812 Slide Rd
Lubbock, TX 79424
Phone (806) 725-1000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 7

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

Hospital & facility affiliations 5

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1780784223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044009",
            "telephone_number": "817-923-4200",
            "fax_number": "817-923-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044009",
            "telephone_number": "817-923-4200",
            "fax_number": "817-923-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "JOHN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F6476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097788602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.