Individual provider Active NPI

Brenda Joyce Hurtt, M.D.

  • Family Medicine Physician
  • Faribault, MN
National Provider Identifier
1114950193
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38208 Issued in MN
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080176220OtherRAIL ROAD MEDICARE
333317500MedicaidMN

Other names 1

  • Brenda Joyce Markley Former name

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.

Verify at the official NPI Registry.