Individual provider Active NPI

Brenda A. Pickhardt, CNM

  • Advanced Practice Midwife
  • Angleton, TX
National Provider Identifier
1528299641
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP120367 Issued in TX
Practice address
1108 E Mulberry St
Ste a
Angleton, TX 77515-3955
Phone
(409) 266-1888
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP120367 TX Primary

Addresses

Primary practice location

1108 E Mulberry St
Ste a
Angleton, TX 77515-3955

Mailing address

42 Montcalm St
Oswego, NY 13126-1321
Phone (315) 343-2590

Other practice location 1

42 Montcalm St
Oswego, NY 13126-1321
Phone (315) 343-2590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110910002887 TX Practitioner - Certified Nurse Midwife (CNM) 7810035771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Oct 18, 2023 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

1108 E Mulberry St
Ste A
Angleton, TX 77515
Phone (979) 849-0692

1108 E Mulberry St
Angleton, TX 77515
Phone (832) 656-2561

195 N 11th St
Beaumont, TX 77702
Phone (409) 838-0045

701 E Davis St
Ste A
Conroe, TX 77301
Phone (936) 525-2800

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

3737 Red Bluff Rd
#150
Pasadena, TX 77503
Phone (713) 473-5180

Interoperability endpoints

  • Direct secure messaging: bpickhardtcnm19511@direct.utmb.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1528299641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MONTCALM ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261321",
            "telephone_number": "315-343-2590",
            "fax_number": "315-343-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E MULBERRY ST",
            "address_2": "STE A",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153955",
            "telephone_number": "409-266-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Montcalm St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131261321",
            "country_code": "US",
            "telephone_number": "315-343-2590",
            "fax_number": "315-343-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKHARDT",
        "first_name": "BRENDA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP120367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

Verify at the official NPI Registry.