Individual provider · Type 1 NPI
Mark J. Brenner, MD
Diagnostic Radiology Physician · Worcester, MA
NPI number
1902873409
Active
Practice location
1 Eaton Pl Ste 100
Worcester, MA 01608
Fax (508) 363-7170
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other practice locations
- 20 Washington Sq, Worcester, MA 01604-4013 · (508) 363-6218
- 275 Nichols Rd, Fitchburg, MA 01420-1919 · (978) 343-5151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 54099 (MA) |
| Radiation Oncology Physician | 2085R0001X | D0041640 (MD) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1902873409
Mark J. Brenner, MD's National Provider Identifier is 1902873409, issued on Mar 2, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Worcester, MA. The record was last updated on May 26, 2026.