BENJAMIN BRENNER
NPI 1447602461
Physician Assistant - Medical in Pomona, CA
About Benjamin Brenner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN BRENNER (NPI 1447602461) is an individual medical provider in Pomona, California, licensed in California (53495) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Brenner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POMONA, CA 91767
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 Benjamin Brenner's NPI number?
The NPI number for Benjamin Brenner is 1447602461. It was assigned to this individual provider in the NPPES registry on July 2, 2016.
Where is Benjamin Brenner located?
Benjamin Brenner practices at 1798 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 865-9500.
What is Benjamin Brenner's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Benjamin Brenner enrolled in Medicare?
Yes. Benjamin Brenner is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Benjamin Brenner was last updated on July 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Benjamin Brenner · NPI 1447602461
Medical physician in Pomona, California. Individual provider, active in the CMS NPPES registry since July 2, 2016.
## Identity
- **NPI:** 1447602461 (Entity type: Individual)
- **Enumerated:** July 2, 2016
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 53495 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1798 N GAREY AVE, Pomona, CA 91767-2918
- **Phone:** (909) 865-9500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 3, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1447602461) · Data from the CMS NPPES public registry.