NPIMap

Organization Active NPI

Brenda Trudell, LLC

  • Chiropractor
  • Mount Horeb, WI
National Provider Identifier
1669500047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4217-012 Issued in WI
Legal business name
BRENDA TRUDELL, LLC
Practice address
1861 Bus Hwy 18 151 East
Mount Horeb, WI 53572
Phone
(608) 437-9990
Fax
(608) 437-9992
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brenda Lynn Trudell, DC
Title
Owner
Phone
(608) 437-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4217-012 WI Primary

Addresses

Primary practice location

1861 Bus Hwy 18 151 East
Mount Horeb, WI 53572

Mailing address

3234 Valley Spring
Mount Horeb, WI 53572
Phone (608) 437-9990

National Provider Directory

National Provider Directory

Locations

1861 Highway 18 and 151 E
Mount Horeb, WI 53572
Phone (608) 437-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669500047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 VALLEY SPRING",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "53572",
            "telephone_number": "608-437-9990",
            "fax_number": "608-437-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 BUS HWY 18 151 EAST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "53572",
            "telephone_number": "608-437-9990",
            "fax_number": "608-437-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA TRUDELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUDELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-437-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4217-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Horeb, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.