Individual provider Active NPI

Gail Brindell, PSYD

  • Clinical Exercise Physiologist
  • Hickory, NC
National Provider Identifier
1730784265
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
536703 Issued in IN
Practice address
1140 Cloninger Mill Rd NE
Hickory, NC 28601-7417
Phone
(919) 205-8401
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X
Clinical Exercise PhysiologistGroup: 193200000X MULTI-SPECIALTY GROUP 224Y00000X 536703 IN Primary

Addresses

Primary practice location

1140 Cloninger Mill Rd NE
Hickory, NC 28601-7417

Mailing address

2425 N Center St # 110
Hickory, NC 28601-1320
Phone (919) 600-8154

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pmd.com/secure-messaging Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
536703INMDClinical Exercise Physiologist

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1730784265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 N CENTER ST # 110",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011320",
            "telephone_number": "919-600-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 CLONINGER MILL RD NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017417",
            "telephone_number": "919-205-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDELL",
        "first_name": "GAIL",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": "IN",
            "license": "536703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pmd.com/secure-messaging",
            "affiliation": "N",
            "endpointDescription": "secure direct messaging, text, and telehealth",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information exchange",
            "address_1": "1140 Cloninger Mill Rd NE",
            "city": "Hickory",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286017417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.