Individual provider Active NPI

Brenda Mozette Hardy, M.D.

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1538176805
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000020350 Issued in TN
Practice address
2900 Kirby Rd
Suite 11
Memphis, TN 38119-8221
Phone
(901) 345-4640
Fax
(901) 399-7973
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD0000020350 TN Primary

Addresses

Primary practice location

2900 Kirby Rd
Suite 11
Memphis, TN 38119-8221

Mailing address

2900 Kirby Rd
Suite 11
Memphis, TN 38119-8221
Phone (901) 345-4640

Other identifiers 2

IdentifierTypeStateIssuer
4041571OtherTNBLUECROSS/BLUE SHIELD
3812313MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20120613000726 TN Practitioner - Obstetrics/Gynecology 7315101839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1920 Kirby Pkwy
Suite 204
Germantown, TN 38138-3697
Phone (901) 345-4640

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000020350TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Healthcare Office of OBGYN CurrentSince May 1, 2002 Accepting new patients
Women's Healthcare Office of OBGYN Current Accepting new patients
Baptist Memorial Hospital- Union City Inc Past Accepting new patients

Locations

1920 Kirby Pkwy
Ste 204
Germantown, TN 38138
Phone (901) 345-4640

1264 Wesley Dr
Ste 103
Memphis, TN 38116
Phone (901) 396-4570

Interoperability endpoints

  • Direct secure messaging: bhardy23332@mlh.direct-ci.com
  • Direct secure messaging: womenshealthcareofficeofob.brendahardy@123111.advancedmd-direct.com

Organizations & group practices 3

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 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1538176805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 KIRBY RD",
            "address_2": "SUITE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198221",
            "telephone_number": "901-345-4640",
            "fax_number": "901-399-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 KIRBY RD",
            "address_2": "SUITE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198221",
            "telephone_number": "901-345-4640",
            "fax_number": "901-399-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "BRENDA",
        "middle_name": "MOZETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000020350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD",
            "identifier": "4041571",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3812313",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.