Brenda L. Harshman, DO, PC

Primary specialty

Hospice and Palliative Medicine (Anesthesiology) PhysicianTaxonomy code 207LH0002X

License

5101010254 Issued in MI

Legal business name

BRENDA L. HARSHMAN, DO, PC

Practice address

1426 N McEwan St
Clare, MI 48617-1114

Phone

(989) 386-6188

Fax

(989) 386-9690

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Brenda L Harshman, DO

Title

Owner

Phone

(989) 386-6188

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1265608590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171114",
            "telephone_number": "989-386-6188",
            "fax_number": "989-386-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171114",
            "telephone_number": "989-386-6188",
            "fax_number": "989-386-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA L. HARSHMAN, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "HARSHMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-386-6188",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "5101010254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114096037",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Clare, MI
• Providers in Clare, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.