Organization Active NPI

Laurence H Brenner MD PA

  • Surgery of the Hand (Plastic Surgery) Physician
  • Altamonte Springs, FL
National Provider Identifier
1881889475
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
ME91864 Issued in FL
Legal business name
LAURENCE H BRENNER MD PA
Practice address
687 Douglas Ave
Altamonte Springs, FL 32714-2515
Phone
(407) 339-4263
Fax
(407) 339-4267
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dolores Greed
Title
Office Manager
Phone
(407) 339-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X ME91864 FL Primary

Addresses

Primary practice location

687 Douglas Ave
Altamonte Springs, FL 32714-2515

Mailing address

687 Douglas Ave
Altamonte Springs, FL 32714-2515
Phone (407) 339-4263

Other identifiers 3

IdentifierTypeStateIssuer
274526700MedicaidFL
52154AOtherFLMEDICARE INDIVIDUAL PROV#
1306894753OtherFLINDIVIDUAL PROVIDER NPI

Other names 1

  • Hand Surgery Center of North Orlando Doing business as

National Provider Directory

National Provider Directory

Locations

505 Maitland Ave
Ste 1050
Altamonte Springs, FL 32701
Phone (407) 339-4263

938 Bridgewater Dr
Ste A
Port Orange, FL 32129
Phone (386) 236-2662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1881889475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 DOUGLAS AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142515",
            "telephone_number": "407-339-4263",
            "fax_number": "407-339-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 DOUGLAS AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142515",
            "telephone_number": "407-339-4263",
            "fax_number": "407-339-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE H BRENNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "GREED",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-339-4263"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME91864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274526700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROV#",
            "identifier": "52154A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1306894753",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hand Surgery Center of North Orlando",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.