Active NPI
Brendan James Courneene, ND
- Integrative Medicine Physician
- Beverly Hills, CA
National Provider Identifier
1568028504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- 099.0134146
- Practice address
- 120 S Spalding Dr Ste 205
Beverly Hills, CA 90212-1840 - Phone
- (310) 928-3822
- NPI assigned
- May 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND1072 | CA | |
| Integrative Medicine Physician | 202D00000X | 099.0134146 | VT | Primary |
Addresses
Primary practice location
120 S Spalding Dr Ste 205
Beverly Hills, CA 90212-1840
Mailing address
18527 Napa St
Northridge, CA 91324-4022
Phone (213) 531-2210
Other practice location 1
18527 Napa St
Northridge, CA 91324-4022
Phone (213) 531-2210
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND1072 | CA | MD | Naturopath |
| 099.0134146 | VT | MD | Integrative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways to Natural Health, Inc | Naturopath | Past | Accepting new patients |
Interoperability endpoints
- brendan.courneene.1@27211.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Naturopath
- Santa Barbara, CA
- NPI 1700357027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1568028504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18527 NAPA ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244022",
"telephone_number": "213-531-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S SPALDING DR STE 205",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121840",
"telephone_number": "310-928-3822"
}
],
"practiceLocations": [
{
"address_1": "18527 Napa St",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913244022",
"country_code": "US",
"telephone_number": "213-531-2210",
"fax_number": "424-245-2312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COURNEENE",
"first_name": "BRENDAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-15",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND1072",
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "VT",
"license": "099.0134146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.