Physician Compare National (NPI:1982631644)

HEALTHCARE PROVIDER: RONALD BRENNER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982631644
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436282233
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100730000381
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRENNER
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC PSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC PSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	8 FREER ST
	Group Practice or individual's line 1 address
City	LYNBROOK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	115632816
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7184741282
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y