Active NPI
Lloyd D Brenden MD PC
- Dermatology Physician
- Mesa, AZ
National Provider Identifier
1073522736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lloyd D Brenden, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070002291 | Other | AZ | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & 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.