Active NPI
Brenda Sue Wells, M.D.
- Obesity Medicine (Family Medicine) Physician
- Springfield, MO
National Provider Identifier
1306047469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- License
- 107139
- Practice address
- 2918 E Battlefield St
Springfield, MO 65804 - Phone
- (417) 833-1100
- Fax
- (417) 720-1132
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 107139 | MO | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 107139 | MO | Primary |
Addresses
Primary practice location
2918 E Battlefield St
Springfield, MO 65804
Mailing address
2918 E Battlefield St
Springfield, MO 65804-4016
Phone (417) 833-1100
Other practice location 1
6409 E US Highway 60
Rogersville, MO 65742-9270
Phone (417) 833-1100
Other practice location 2
6409 E US Highway 60
Rogersville, MO 65742-9270
Phone (417) 833-1100
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107139 | MO | MD | Obesity Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1306047469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 E BATTLEFIELD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044016",
"telephone_number": "417-833-1100",
"fax_number": "417-720-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 E BATTLEFIELD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-833-1100",
"fax_number": "417-720-1132"
}
],
"practiceLocations": [
{
"address_1": "6409 E US Highway 60",
"address_purpose": "LOCATION",
"city": "Rogersville",
"state": "MO",
"postal_code": "657429270",
"country_code": "US",
"telephone_number": "417-833-1100",
"fax_number": "417-753-7790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6409 E US Highway 60",
"address_purpose": "LOCATION",
"city": "Rogersville",
"state": "MO",
"postal_code": "657429270",
"country_code": "US",
"telephone_number": "417-833-1100",
"fax_number": "417-753-7790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "BRENDA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "107139",
"primary": false
},
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "MO",
"license": "107139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.