Organization Active NPI

Lloyd D Brenden MD PC

  • Dermatology Physician
  • Mesa, AZ
National Provider Identifier
1073522736
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LLOYD D BRENDEN MD PC
Practice address
7525 E Broadway Rd
Suite 10
Mesa, AZ 85208-2002
Phone
(480) 985-9492
Fax
(480) 985-9771
NPI assigned
Aug 5, 2006
Last updated
Oct 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lloyd D Brenden, MDNPI 1497716625
Title
President
Phone
(480) 985-9492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

7525 E Broadway Rd
Suite 10
Mesa, AZ 85208-2002

Mailing address

7525 E Broadway Rd
Suite 10
Mesa, AZ 85208-2002
Phone (480) 985-9492

Other identifiers 1

IdentifierTypeStateIssuer
070002291OtherAZRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1073522736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD",
            "address_2": "SUITE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082002",
            "telephone_number": "480-985-9492",
            "fax_number": "480-985-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD",
            "address_2": "SUITE 10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082002",
            "telephone_number": "480-985-9492",
            "fax_number": "480-985-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD D BRENDEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "BRENDEN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-985-9492",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "070002291",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.