Individual provider Active NPI

Brenda Martin, NPC

  • Family Nurse Practitioner
  • Ephrata, PA
National Provider Identifier
1407841000
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007413 Issued in PA
Practice address
PO Box 1002
Ephrata, PA 17522-1002
Phone
(717) 721-4740
Fax
(717) 738-6872
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP007413 PA Primary

Addresses

Primary practice location

PO Box 1002
Ephrata, PA 17522-1002

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

6649 Chrisphalt Dr Ste 103
Bath, PA 18014-8500
Phone (484) 287-1111

Other practice location 2

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-4876

Other names 1

  • Brenda Burkett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000899 PA Practitioner - Nurse Practitioner 4284622630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 721-4740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 8, 2025 Accepting new patients
Lehigh Valley Physician Group Nurse Practitioner Current Accepting new patients
Wellspan Medical Group CurrentSince Sep 8, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 16, 2012 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 16, 2012 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Current Accepting new patients

Locations

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

6649 Chrisphalt Dr
Ste 103
Bath, PA 18014
Phone (484) 287-1111

6649 Chrisphalt Dr
Ste 101
Bath, PA 18014
Phone (610) 537-6614

586 Moorestown Dr
Bath, PA 18014
Phone (610) 746-2010

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751

7096 Decatur St
New Tripoli, PA 18066
Phone (610) 298-8521

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: bburkettmartin489087@wellspan.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1407841000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221002",
            "telephone_number": "717-721-4740",
            "fax_number": "717-738-6872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6649 Chrisphalt Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bath",
            "state": "PA",
            "postal_code": "180148500",
            "country_code": "US",
            "telephone_number": "484-287-1111",
            "fax_number": "484-287-1117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-4876",
            "fax_number": "717-270-3875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRENDA",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BURKETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.