Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenton Jay Seung Hoon Song, DO

Individual provider Child & Adolescent Psychiatry Physician · NPI 1184117004

Brenton Jay Seung Hoon Song, DO is a Psychiatry in Erie, Pennsylvania. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2018, 8 years ago. Practices with Millcreek Community Hospital, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
PA
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4740 Peach St
Erie, PA 16509-2008
Phone: (814) 454-3174
Fax: (814) 616-8002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 537 W 18th St, Erie, PA 16502-1722 — (814) 454-3174

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence OS021405 (PA)

Record details

NPI number1184117004
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2018 (8 years in practice)
Group practice Millcreek Community Hospital — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Erie