Individual provider Active NPI

Brenda R Kurnik, M.D.

  • Nephrology Physician
  • Voorhees, NJ
National Provider Identifier
1730180555
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA04657800 Issued in NJ
Practice address
1100 Sheppard Road
Voorhees, NJ 08043
Phone
(856) 424-7390
Fax
(844) 295-1371
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA04657800 NJ Primary

Addresses

Primary practice location

1100 Sheppard Road
Voorhees, NJ 08043

Mailing address

56 Palmer Dr
Moorestown, NJ 08057-3882
Phone (856) 905-8943

Other identifiers 2

IdentifierTypeStateIssuer
8945004MedicaidNJ
P00184991OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20041218000020 NJ Practitioner - Nephrology 4486611779 Reassigns benefits to 1 organization
Practice locations: Marlton, NJ

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Sep 18, 2023 Accepting new patients
Advocare , LLC CurrentSince Sep 18, 2023 Accepting new patients
Philadelphia Health & Education Corp. Nephrology Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Marlton Nephrology and Hypertension LLC Nephrology PastSince Dec 16, 2020 Accepting new patients

Locations

1417 Brace Rd
Cherry Hill, NJ 08034
Phone (856) 795-3131

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

979 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 629-5151

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1730180555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PALMER DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573882",
            "telephone_number": "856-905-8943",
            "fax_number": "856-988-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHEPPARD ROAD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-424-7390",
            "fax_number": "844-295-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURNIK",
        "first_name": "BRENDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA04657800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945004",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00184991",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.