Active NPI
Brenda Leigh Bratton, PHD
- Clinical Psychologist
- West Fargo, ND
National Provider Identifier
1073682902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 431
- Practice address
- 1401 13TH Ave E
West Fargo, ND 58078-3468 - Phone
- (701) 364-0060
- Fax
- (701) 364-0065
- NPI assigned
- Nov 7, 2006
- Last updated
- Dec 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 431 | ND | Primary |
Addresses
Primary practice location
1401 13TH Ave E
West Fargo, ND 58078-3468
Mailing address
1401 13TH Ave E
West Fargo, ND 58078-3468
Phone (701) 364-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 13TH Ave E
West Fargo, ND 58078-3402
Phone (701) 364-0060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knowlton, O'Neill & Associates, P.C. | Current | Accepting new patients |
Locations
1401 13th Ave E
West Fargo, ND 58078
Phone (701) 364-0060
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- West Fargo, ND
- NPI 1538198759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1073682902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 13TH AVE E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580783468",
"telephone_number": "701-364-0060",
"fax_number": "701-364-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 13TH AVE E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580783468",
"telephone_number": "701-364-0060",
"fax_number": "701-364-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATTON",
"first_name": "BRENDA",
"middle_name": "LEIGH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.