Brenda A El-Shiekh, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36492 Issued in KY

Practice address

1320 Woodland Dr
Suite a
Elizabethtown, KY 42701-3652

Phone

(270) 769-1100

Fax

(270) 737-8688

NPI assigned

Jul 20, 2005

Last updated

Aug 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1447259551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6126",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427026126",
            "telephone_number": "270-769-1100",
            "fax_number": "270-769-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODLAND DR",
            "address_2": "SUITE A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013652",
            "telephone_number": "270-769-1100",
            "fax_number": "270-737-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-SHIEKH",
        "first_name": "BRENDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000213980",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WINDSOR STERLING",
            "identifier": "1447259551",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwellness LLC
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• Ekg PSC
• Brewer Markovich Eklund, PT
• Brian Eklund, MD
• Reda A El-Shiekh, M.D.
• Brian Elder
• Elizabethtown Emergency Physicians, LLC
• Elizabethtown Family Care Clinic
• Elizabethtown Family Dentistry

• Family Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.