Active NPI
Mark J Brenner, MD
- Diagnostic Radiology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 54099
- Practice address
- 1 Eaton PL Ste 100
Worcester, MA 01608 - Phone
- (508) 363-6881
- Fax
- (508) 363-7170
- NPI assigned
- Mar 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 54099 | MA | Primary |
| Radiation Oncology Physician | 2085R0001X | D0041640 | MD |
Addresses
Primary practice location
1 Eaton PL Ste 100
Worcester, MA 01608
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
20 Washington Sq
Worcester, MA 01604-4013
Phone (508) 363-6218
Other practice location 2
275 Nichols Rd
Fitchburg, MA 01420-1919
Phone (978) 343-5151
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110085074A | Medicaid | MA | |
| 920007556 | Other | MD | RAILROAD MEDICARE |
| 168741700 | Medicaid | MD | |
| 920004528 | Other | MD | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Tufts University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
Hospital & facility affiliations
- St Vincent Hospital
- The Monroe Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0041640 | MD | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Saint Vincent Physician Services, Inc. | Current | Accepting new patients | |
| Northwest Baltimore Radiation Therapy Regional Center, LLC | Radiation Oncology | Past | Accepting new patients |
| VHM Services, Inc. | Past | Accepting new patients | |
| Radiation Oncology Services of Northwest Baltimore, LLC | Radiation Oncology | Past | Accepting new patients |
| American Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
Locations
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
1 Eaton Pl
Ste 100
Worcester, MA 01608
Phone (508) 363-6881
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
-
- Specialist
- Monroe, WI
- NPI 1386720548
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Radiation Oncology Physician
- Baltimore, MD
- NPI 1043274905
-
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
-
- Internal Medicine Physician
- Framingham, MA
- NPI 1508818618
-
- Diagnostic Radiology Physician
- Prince Frederick, MD
- NPI 1629235312
-
- Radiation Oncology Physician
- Owings Mills, MD
- NPI 1639145279
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
-
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1902873409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EATON PL STE 100",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-363-6881",
"fax_number": "508-363-7170"
}
],
"practiceLocations": [
{
"address_1": "20 Washington Sq",
"address_purpose": "LOCATION",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044013",
"country_code": "US",
"telephone_number": "508-363-6218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Nichols Rd",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "MA",
"postal_code": "014201919",
"country_code": "US",
"telephone_number": "978-343-5151",
"fax_number": "774-442-5006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENNER",
"first_name": "MARK",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "54099",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D0041640",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110085074A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "920007556",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168741700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "920004528",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.