BRIAN L RENFROW PA
NPI 1851385082
Physician Assistant - Medical in Hamilton, NY

Q: What is Brian Renfrow's NPI number?

The NPI number for Brian Renfrow is 1851385082. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Q: What is Brian Renfrow's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Renfrow was last updated on October 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment

150 BROAD ST, HAMILTON, NY 13346(315) 824-6090(315) 824-1956 Get Directions Write a Review

NPPES record last updated: October 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brian L Renfrow Pa NPPES

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

BRIAN L RENFROW PA (NPI 1851385082) is an individual medical provider in Hamilton, New York, licensed in New York (003272) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1851385082

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameBRIAN L RENFROWCredential: PA

Location Address150 BROAD STHamilton, NY 13346-9575

Mailing AddressPo Box 2004East Syracuse, NY 13057-4504 · (315) 362-5285 · Fax (315) 445-2936

Phone(315) 824-6090

Fax(315) 824-1956

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateSeptember 2, 2005

Last NPPES UpdateOctober 7, 2012

✔ NPI 1851385082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 003272

150 BROAD ST, Hamilton, NY 13346

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Other Identifiers 1

Medicare UPINR94699

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian L Renfrow Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719911700

PECOS Enrollment IDI20050920000320

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crouse Hospital

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330203

Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

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.

APRIL LAMUNION

Nurse Practitioner (Family)