Active NPI
Brenda Stuart Kimbrell, D.C.
- Chiropractor
- Garland, TX
National Provider Identifier
1801044201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10663
- Practice address
- 3901 W Walnut St
Suite B
Garland, TX 75042-6220 - Phone
- (972) 494-0500
- Fax
- (972) 494-0501
- NPI assigned
- Aug 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10663 | TX | Primary |
Addresses
Primary practice location
3901 W Walnut St
Suite B
Garland, TX 75042-6220
Mailing address
PO Box 744006
Dallas, TX 75374-4006
Phone (972) 494-0500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10663 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuong S. Cao LLC | Chiropractor | Past | Accepting new patients |
| Cuong S. Cao LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Garland, TX
- NPI 1548419302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1801044201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744006",
"city": "DALLAS",
"state": "TX",
"postal_code": "753744006",
"telephone_number": "972-494-0500",
"fax_number": "972-494-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 W WALNUT ST",
"address_2": "SUITE B",
"city": "GARLAND",
"state": "TX",
"postal_code": "750426220",
"telephone_number": "972-494-0500",
"fax_number": "972-494-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRELL",
"first_name": "BRENDA",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.