Frederick J Brenner


Address: 2070 N King St, Suite A 1, Honolulu, HI 96819-3481

Frederick J Brenner (NPI# 1508803768, PAC ID# 6901792936) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1508803768
PAC ID by PECOS 6901792936
Professional Enrollment ID I20150511000914
Full Name Frederick J Brenner
Address 2070 N King St
Suite A 1
Honolulu
HI 96819-3481
Gender M
Credential MD
Graduation Year 1986
Primary Specialty EMERGENCY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
120001 THE QUEENS MEDICAL CENTER

Other Locations

Address Phone Organization
91 -2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1929 8086712931 WORKSTAR OCCUPATIONAL HEALTH SYSTEMS INC
2070 N King St, Suite A 1, Honolulu, HI 96819-3481

Organization Information

Office Location

Street Address 2070 N KING ST
SUITE A 1
City HONOLULU
State HI
Zip 96819-3481

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Competitor

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City HONOLULU
Zip Code 96819
Specialty EMERGENCY MEDICINE
City + Specialty HONOLULU + EMERGENCY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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