Marc A. Brenner, D.P.M., PLLC
NPI 1912276643 · Podiatrist · Lake Success, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1912276643
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Sharese Welch, Credentialing Specialist(718) 573-1123
- License
- N002371-1 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Marc Alan Brenner D.P.M., PC
- Former legal business name
- Marc Alan Brenner D.P.M., PC
Additional practice locations (1)
- 7309 Myrtle AveGlendale, NY 11385-7418Phone: (718) 456-7270Fax: (718) 456-1874
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2019-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.