Organization Active NPI

Body Renewal Laser Centers LLC

  • Acupuncturist
  • Bradenton, FL
National Provider Identifier
1184954778
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2026 Issued in FL
Legal business name
BODY RENEWAL LASER CENTERS LLC
Practice address
6815 14TH St W Ste 208
Bradenton, FL 34207-5810
Phone
(941) 751-2345
Fax
(941) 751-6336
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Nancie Jean Brenes, DOM, AP
Title
Owner
Phone
(941) 751-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP2026 FL Primary

Addresses

Primary practice location

6815 14TH St W Ste 208
Bradenton, FL 34207-5810

Mailing address

6815 14TH St W Ste 208
Bradenton, FL 34207-5810
Phone (941) 751-2345

National Provider Directory

National Provider Directory

Locations

6815 14th St W
Ste 208
Bradenton, FL 34207
Phone (941) 713-3397

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1184954778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 14TH ST W STE 208",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342075810",
            "telephone_number": "941-751-2345",
            "fax_number": "941-751-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 14TH ST W STE 208",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342075810",
            "telephone_number": "941-751-2345",
            "fax_number": "941-751-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY RENEWAL LASER CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "BRENES",
        "authorized_official_first_name": "NANCIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-751-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM, AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.