John W. Breneman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD010487E Issued in PA

Practice address

405 Phoenix Dr
Unit a
Chambersburg, PA 17201-4534

Phone

(717) 263-4999

Fax

(717) 263-5522

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922054758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 584",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172570584",
            "telephone_number": "717-263-4999",
            "fax_number": "717-263-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PHOENIX DR",
            "address_2": "UNIT A",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014534",
            "telephone_number": "717-263-4999",
            "fax_number": "717-263-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENEMAN",
        "first_name": "JOHN",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD010487E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "BR132293",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ruth Brant, CRNP
• Gordon P Braun, PA-C
• Jasmine Marie Bravo-Beaumont, OD
• Candi J Brechbiel, PTA
• Madison Leigh Breeze, PHARMD
• Erin Marie Brennan, PHARMD
• David Lewis Brewer Jr., CRNP
• Ginger Renee Bricker, CRNP
• Samuel Q Bricker, MD
• William Bricker, CRNA

• General Practice Physician in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• General Practice Physician in Pennsylvania

• 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.

Verify at the official NPI Registry.