Brent Allen Edwards, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95040585 Issued in CA

Practice address

2122 S El Camino Real Ste 200
Oceanside, CA 92054-6210

Phone

(619) 267-9257

Fax

(619) 267-9273

NPI assigned

Jul 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Duke University School of Medicine, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced TMS Clinic Inc

  • Clinic/Center
  • National City, CA
  • NPI 1386104263
  NPD
• Pacific Health Systems, L.P.

  • Psychiatry Physician
  • National City, CA
  • NPI 1669486429
  NPD

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1639917842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 S EL CAMINO REAL STE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546210",
            "telephone_number": "619-267-9257",
            "fax_number": "619-986-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 S EL CAMINO REAL STE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546210",
            "telephone_number": "619-267-9257",
            "fax_number": "619-267-9273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "892 27th St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921541444",
            "country_code": "US",
            "telephone_number": "619-575-4687",
            "fax_number": "619-575-1215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W 72nd St Apt 1D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100232661",
            "country_code": "US",
            "telephone_number": "917-274-7730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Euclid Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502951",
            "country_code": "US",
            "telephone_number": "619-267-9257",
            "fax_number": "619-267-9273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRENT",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-20",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95023840",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95040585",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mollia C Eberle, MS., CF-SLP
• Tannaz Ebrahimi Adib, M.D.
• Helena Eckerberg, PH.D
• Emily Jean Eckstein, PSYD
• Rose Edmund, RN
• Halley Louise Edwards
• Jefri Susan Edwards I, MA
• Jerry S Edwards
• Kaitlyn Joan Edwards, PT, DPT
• Kristen Sheriff Edwards, PT, DPT

• Psychiatric/Mental Health Nurse Practitioner in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.