MARC A. BRENNER, D.P.M., PLLC
NPI 1912276643
Podiatrist in Lake Success, NY
About Marc A. Brenner, D.p.m., Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC A. BRENNER, D.P.M., PLLC (NPI 1912276643), doing business as Marc Alan Brenner D.p.m., Pc, is a healthcare organization registered as a podiatrist in Lake Success, New York and active in the NPI registry since December 2011. The organization maintains a secondary practice location in Glendale and lists Sharese Welch, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marc A. Brenner, D.p.m., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Marc A. Brenner, D.P.M., PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Marc A. Brenner, D.P.M., PLLC's NPI number?
The NPI number for Marc A. Brenner, D.P.M., PLLC is 1912276643. It was assigned to this organization in the NPPES registry on December 27, 2011. The provider was formerly known as Marc Alan Brenner D.P.M., PC.
Where is Marc A. Brenner, D.P.M., PLLC located?
Marc A. Brenner, D.P.M., PLLC is located at 2001 Marcus Avenue, Lake Success, NY 11042. The listed phone number is (516) 355-2277.
What is Marc A. Brenner, D.P.M., PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Marc A. Brenner, D.P.M., PLLC enrolled in Medicare?
Yes. Marc A. Brenner, D.P.M., PLLC is registered in the Medicare PECOS enrollment system.
When is Marc A. Brenner, D.P.M., PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Marc A. Brenner, D.P.M., PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Marc A. Brenner, D.P.M., PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Marc A. Brenner, D.P.M., PLLC was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Marc A. Brenner, D.p.m., Pllc · NPI 1912276643
Podiatrist organization in Lake Success, New York. Organization record, active in the CMS NPPES registry since December 27, 2011.
## Identity
- **NPI:** 1912276643 (Entity type: Organization)
- **Enumerated:** December 27, 2011
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Sharese Welch, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 2001 MARCUS AVENUE, Lake Success, NY 11042
- **Phone:** (516) 355-2277 · **Fax:** (516) 626-9243
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1912276643) · Data from the CMS NPPES public registry.