Brenda Cruikshank, M.D.
Individual provider Active NPI Pediatrics Physician · Iowa City, IA
NPI 1164801668 · NPPES record last updated May 29, 2015
Key facts
- NPI
- 1164801668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 19706 (IA)
- Practice address
- 2105 Glendale Rd
Iowa City, IA 52245-3221 - Phone
- (319) 351-5612
- NPI assigned
- May 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19706 | IA | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19706 | IA | Yes |
Addresses
Primary practice location
2105 Glendale Rd
Iowa City, IA 52245-3221
Mailing address
2105 Glendale Rd
Iowa City, IA 52245-3221
Phone (319) 351-5612
Other providers in Iowa City, IA
- Raymond R Crowe
- Aiden Crowley
- Valerie Dee Crowley
- Abigail Crowner
- Stacy Croy
- Joseph Murphy Crum Jr.
- CRW Medical PC
- Jill Cryer
- Henri A Cuddihy
- Marta Cuervo
All providers in Iowa City, IA · Pediatrics Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.