Active NPI
John Robert Brechtl, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1881817989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 165221
- Practice address
- 1249 Fifth Avenue
New York, NY 10029 - Phone
- (212) 360-3906
- Fax
- (212) 426-9798
- NPI assigned
- Apr 10, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 165221 | NY | Primary |
Addresses
Primary practice location
1249 Fifth Avenue
New York, NY 10029
Mailing address
10 East End Avenue
#16B
New York, NY 10021
Phone (212) 298-9226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01010562 | Medicaid | NY |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165221 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881817989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 EAST END AVENUE",
"address_2": "#16B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-298-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 FIFTH AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-360-3906",
"fax_number": "212-426-9798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRECHTL",
"first_name": "JOHN",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "165221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01010562",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.