Individual provider Active NPI

Beverly Teresa Brending, ELECTROLOGIST

  • Specialist
  • Saint Paul, MN
National Provider Identifier
1184181349
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
745 Grand Ave Ste 101
Saint Paul, MN 55105-3384
Phone
(651) 642-1374
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

745 Grand Ave Ste 101
Saint Paul, MN 55105-3384

Mailing address

745 Grand Ave Ste 101
Saint Paul, MN 55105-3384
Phone (651) 642-1374

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1184181349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 GRAND AVE STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053384",
            "telephone_number": "651-642-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 GRAND AVE STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053384",
            "telephone_number": "651-642-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDING",
        "first_name": "BEVERLY",
        "middle_name": "TERESA",
        "credential": "ELECTROLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.