MEDICARE: RENEE BRANT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	35703	MA
2	2084P0804X	Child & Adolescent Psychiatry Physician	35703	MA

General Provider Information

NPI Number	:	1184730160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE BRANT M.D.

Provider Business Mailing Address
First Line	:	33 MAPLE AVE
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02458-1923
Country	:	US
Telephone Number	:	617-965-5935
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 LINCOLN ST
Second Line	:
City	:	NEWTON HIGHLANDS
State	:	MA
Zip	:	02461-1527
Country	:	US
Telephone Number	:	617-964-6982
Fax Number	:	617-969-7803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	09/11/2025

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