Active NPI
Steven Hal Brenner, M.D.
- Reproductive Endocrinology Physician
- Melville, NY
National Provider Identifier
1942396627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 139272
- Practice address
- 8 Corporate Center Dr
Suite 101
Melville, NY 11747-3193 - Phone
- (631) 752-0606
- Fax
- (631) 752-0623
- NPI assigned
- Oct 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 139272 | NY | Primary |
Addresses
Primary practice location
8 Corporate Center Dr
Suite 101
Melville, NY 11747-3193
Mailing address
22 Waterville Rd
Invitro Sciences, Inc.
Avon, CT 06001-2066
Phone (860) 678-3428
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 |
|---|---|---|---|
| 139272 | NY | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1942396627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WATERVILLE RD",
"address_2": "INVITRO SCIENCES, INC.",
"city": "AVON",
"state": "CT",
"postal_code": "060012066",
"telephone_number": "860-678-3428",
"fax_number": "860-284-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CORPORATE CENTER DR",
"address_2": "SUITE 101",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473193",
"telephone_number": "631-752-0606",
"fax_number": "631-752-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "STEVEN",
"middle_name": "HAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NY",
"license": "139272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.