JACK L BRENNER MD PC
NPI 1417268046
Internal Medicine - Gastroenterology in Yorktown Hts, NY

Active since June 29, 2010
1974 MAPLE HILL ST, SUITE 6, YORKTOWN HTS, NY 10598(914) 962-5596(914) 962-5919 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack L Brenner Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK L BRENNER MD PC (NPI 1417268046) is a healthcare organization registered as a gastroenterology in Yorktown Hts, New York and active in the NPI registry since June 2010. The organization lists Jack L Brenner, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1417268046
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameJACK L BRENNER MD PC
Location Address1974 MAPLE HILL ST, SUITE 6Yorktown Hts, NY 10598-4190
Mailing Address1974 Maple Hill St, Suite 6Yorktown Hts, NY 10598-4190 · (914) 962-5596 · Fax (914) 962-5919
Fax(914) 962-5919
Organization SubpartNo
Authorized OfficialJack L BrennerMedical Doctor · (914) 962-5596
Enumeration DateJune 29, 2010
Last NPPES UpdateJanuary 10, 2018
NPI 1417268046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 1064781
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 1064781 (NY)
1974 MAPLE HILL ST, Yorktown Hts, NY 10598

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Exclusive Provider Organization
1974 MAPLE HILL ST
YORKTOWN HEIGHTS, NY 10598
Radiologic Technologist
1974 MAPLE HILL ST
YORKTOWN HEIGHTS, NY 10598
Dentist (Pediatric Dentistry)
1974 MAPLE HILL ST
YORKTOWN HEIGHTS, NY 10598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack L Brenner MD PC's NPI number?

The NPI number for Jack L Brenner MD PC is 1417268046. It was assigned to this organization in the NPPES registry on June 29, 2010.

Where is Jack L Brenner MD PC located?

Jack L Brenner MD PC is located at 1974 Maple Hill St Suite 6, Yorktown Hts, NY 10598. The listed phone number is (914) 962-5596.

What is Jack L Brenner MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Jack L Brenner MD PC was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.