Brenco

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BRENCO

Practice address

157 F E Sellers Hwy
Monticello, MS 39654

Phone

(601) 587-1367

Fax

(601) 587-0968

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ollie Brent

Title

Office Manager

Phone

(601) 587-1367

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ritha G Bookert, NP

  • Family Nurse Practitioner
  • Brandon, MS
  • NPI 1558559823
  NPD (past)
• Anjanette Michelle Devine, FNP

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1215218292
  NPD (past)
• Larona Rachelle Searcy, FNP

  • Primary Care Nurse Practitioner
  • Ridgeland, MS
  • NPI 1053665232
  NPD (past)
• Gerard G Guerin, DPM

  • Podiatrist
  • Dallas, TX
  • NPI 1629098660
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1295818045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396540802",
            "telephone_number": "601-587-1367",
            "fax_number": "601-587-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 F E SELLERS HWY",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "39654",
            "telephone_number": "601-587-1367",
            "fax_number": "601-587-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "BRENT",
        "authorized_official_first_name": "OLLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-587-1367",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04156094",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonita C. Musial
• Armanda L. Bourne, PT
• Doretha Bournes, NP
• Chris Gilbert Boyd, DMD
• Constance M. Bradford, FNP-C
• Bridges Professional Counseling and Consulting LLC
• Kelly Mackenzie Brister, COTA
• Amy Eaton Broome, PTA
• Rebecca Hussey Burris, C.F.N.P.
• Richard Gerald Burris, M.D.

• All providers in Monticello, MS
• Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.