Brenda Meryl Siegel Bercun

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

338251 Issued in CA

Practice address

2180 Greenwich St
San Francisco, CA 94123-3405

Phone

(415) 346-8640

NPI assigned

Jan 26, 2007

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trauma & Stress Recovery Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Francisco, CA
  • NPI 1386816064
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104972546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORTE DEL CORONADO",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391503",
            "telephone_number": "415-927-4839",
            "fax_number": "415-927-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 GREENWICH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233405",
            "telephone_number": "415-346-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCUN",
        "first_name": "BRENDA",
        "middle_name": "MERYL SIEGEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "338251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Ray Benwell, PPCHW
• Christopher C. Benz, M.D.
• Stephen R Benzian, MD
• Lurit Bepo
• William R Bercasio
• Corey S. Bercun, PH..D.
• Janelle Alyse Bercun, LCSW
• Josh Berd, D.D.S.
• Mikhail Berdichevsky, D.D.S.
• Sara Elizabeth Berdy, NP

• Psychiatric/Mental Health Registered Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.