Mark J Brenner, MD
Radiology, Diagnostic Radiology in Worcester, Massachusetts
1902873409- Practice location
- 1 Eaton Pl Ste 100, Worcester, MA 01608
- Phone
- 508-363-6881
- Fax
- 508-363-7170
- Last updated
- May 26, 2026
Mark J Brenner is a Radiology, Diagnostic Radiology based in Worcester, MA. Mark J Brenner practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Mark J Brenner is 1902873409 and holds a License No. 54099 (MA). The current practice location address for Mark J Brenner is 1 Eaton Pl Ste 100, Worcester, MA 01608 and can be reached out via phone at 508-363-6881 and via fax at 508-363-7170.
Provider Profile Details
- NPI Number
- 1902873409
- Provider Name
- Mark J Brenner
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Eaton Pl Ste 100, Worcester, MA 01608
- Phone Number
- 508-363-6881
- Fax Number
- 508-363-7170
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 2, 2006
- Last Update Date
- May 26, 2026
- Certification Date
- May 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Eaton Pl Ste 100
Worcester, MA 01608 - City
- Worcester
- State
- Massachusetts
- Zip
- 01608
- Phone Number
- 508-363-6881
- Fax Number
- 508-363-7170
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number (1)
- 54099
- License State (1)
- MA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
- License Number (2)
- D0041640
- License State (2)
- MD
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark J Brenner, MD?
The NPI number of Mark J Brenner, MD is 1902873409. It was assigned on March 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark J Brenner, MD?
Mark J Brenner, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 54099.
Where does Mark J Brenner, MD practice?
The practice location is 1 Eaton Pl Ste 100, Worcester, MA 01608. The office can be reached at 508-363-6881 (phone) or 508-363-7170 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902873409 directly on the NPPES registry website.