Brenda Joelle Larson Dolejs, ATC, ATR

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1008 Issued in MN

Practice address

4080 W Broadway Ave
Suite 300
Robbinsdale, MN 55422-5604

Phone

(612) 672-7109

NPI assigned

Apr 23, 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

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114145422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13875 FRANCHISE AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245616",
            "telephone_number": "952-431-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE",
            "address_2": "SUITE 300",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225604",
            "telephone_number": "612-672-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLEJS",
        "first_name": "BRENDA",
        "middle_name": "JOELLE LARSON",
        "name_prefix": "Mrs.",
        "credential": "ATC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Jo Diebold, M.D.
• Karen R Diehl
• Stacy Digre
• Sierra Dillard
• Aditya Rani Dodla, MD
• Don Sealock, O.D., P.a.
• Jessica Anton Dooley, LICSW
• Andrea R Dorado, LICSW
• Aiyana Alexandra Dorn
• Sondra E Doty

• Athletic Trainer in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Athletic Trainer in Minnesota

• 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.