Barry I Brenner DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS023108L Issued in PA

Legal business name

BARRY I BRENNER DDS PC

Practice address

2340 South 12TH Street
Philadelphia, PA 19148

Phone

(215) 389-7982

Fax

(215) 389-7966

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barry I Brenner, DDS

Title

President

Phone

(215) 389-7982

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932265360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SOUTH 12TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-389-7982",
            "fax_number": "215-389-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SOUTH 12TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-389-7982",
            "fax_number": "215-389-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY I BRENNER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-389-7982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023108L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C. Barros, PHARM.D.
• Jeffrey Matthew Barroso, M.D.
• Mary Ellen Barrosse-Antle, M.D
• Cedrick Barrow, D.O
• Dakota Barrow
• Barry Sockel, D.D.S., P.C.
• Katerina Mary Barry, OTR/L
• Kileen Barry, MFT
• Kristine Barry, CRNP
• Laura Barry, M.D.

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.