Active NPI
Harmar D. Brereton, M.D.
- Radiation Oncology Physician
- Dunmore, PA
National Provider Identifier
1972507648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD027996E
- Practice address
- 1110 Meade St
Dunmore, PA 18512-3169 - Phone
- (570) 504-7200
- Fax
- (570) 504-7209
- NPI assigned
- Jun 9, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD027996-E | PA | |
| Radiation Oncology Physician | 2085R0001X | MD027996E | PA | Primary |
| Therapeutic Radiology Physician | 2085R0203X | MD 027996E | PA |
Addresses
Primary practice location
1110 Meade St
Dunmore, PA 18512-3169
Mailing address
712 Main St
Moosic, PA 18507-1094
Phone (570) 504-7210
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1155655 | Medicaid | NY | |
| 000878796 | Medicaid | PA | |
| 5189101 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027996-E | PA | MD | Specialist |
| MD 027996E | PA | MD | Therapeutic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiation Medicine Associates of Upper Delaware Valley | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Milford, PA
- NPI 1316946981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1972507648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 MAIN ST",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185071094",
"telephone_number": "570-504-7210",
"fax_number": "570-955-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 MEADE ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185123169",
"telephone_number": "570-504-7200",
"fax_number": "570-504-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRERETON",
"first_name": "HARMAR",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD027996-E",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD027996E",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "PA",
"license": "MD 027996E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1155655",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000878796",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5189101",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.