Individual ProviderJohn Robert BrechtlInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1249 Fifth Avenue, New York, NY 10029(212) 360-3906(212) 298-9226PECOS EnrollmentBased on the most recent information from CMS, provider John Robert Brechtl does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881817989Provider TypeIndividualFull NameBrechtl, John RobertCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/10/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1249 Fifth Avenue, New York, NY 10029Phone(212) 360-3906Fax(212) 426-9798Mailing LocationMailing Address10 East End Avenue, #16b, New York, NY 10021Phone(212) 298-9226FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense165221New YorkProvider IdentifiersIDDescriptionIssuerID01010562DescriptionMedicaidIssuerUnlistedNew York