Justin Brendel

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041498675 Issued in IL

Practice address

41W400 Silver Glen Rd
St Charles, IL 60175-8453

Phone

(630) 940-1100

NPI assigned

Aug 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1104508001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41W400 SILVER GLEN RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41W400 SILVER GLEN RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758453",
            "telephone_number": "630-940-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDEL",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041498675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Meredith Brandes, LCPC
• Teresa Brandt, MSW
• Brannick Clinic of Natural Medicine, S.C.
• Bravo Care of St Charles Inc
• Meagan Brayton, BCBA
• Courtney Lynn Brendle, BCBA
• Maureen Brenner-Mitchell
• Krista G Brennfoerder, MA, LCPC
• Diane Bristol, CFNP
• Susan Bernice Broderick, LCSW

• Registered Nurse in St Charles, IL
• Providers in St Charles, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.