Active NPI
Brenda Joyce Hurtt, M.D.
- Family Medicine Physician
- Faribault, MN
National Provider Identifier
1114950193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38208
- Practice address
- 924 1St St NE
Faribault, MN 55021-5441 - Phone
- (507) 333-3300
- Fax
- (507) 333-3214
- NPI assigned
- Jul 10, 2006
- Last updated
- May 14, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38208 | MN | Primary |
Addresses
Primary practice location
924 1St St NE
Faribault, MN 55021-5441
Mailing address
924 1St St NE
Faribault, MN 55021-5441
Phone (507) 333-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080176220 | Other | RAIL ROAD MEDICARE | |
| 333317500 | Medicaid | MN |
Other names 1
- Brenda Joyce Markley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1114950193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 1ST ST NE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550215441",
"telephone_number": "507-333-3300",
"fax_number": "507-333-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 1ST ST NE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550215441",
"telephone_number": "507-333-3300",
"fax_number": "507-333-3214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTT",
"first_name": "BRENDA",
"middle_name": "JOYCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "38208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "080176220",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "333317500",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "MARKLEY",
"middle_name": "JOYCE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.