Jerome Lee Brendel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8409T Issued in CA

Practice address

5326 Swindon Rd
Rocklin, CA 95765-5130

Phone

(916) 212-6858

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matin Khoshnevis MD IncGroup PAC ID 9335536440, 5 clinicians

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.

• Matin Khoshnevis MD Inc

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1134173099

  Optometrist

  Medicare reassignment Care Compare group NPD
• Heidi Q T Pham-Murphy OD

  • Optometrist
  • Sacramento, CA
  • NPI 1811126352
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1831189620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 SWINDON RD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655130",
            "telephone_number": "916-212-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 SWINDON RD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655130",
            "telephone_number": "916-212-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDEL",
        "first_name": "JEROME",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8409T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrendel@directaddress.net",
            "affiliation": "N",
            "address_1": "5326 Swindon Rd",
            "city": "Rocklin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957655130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Branch
• Sydney Ann Brandt
• Narinder Mohan Singh Brar, NURSE PRACTITIONER
• Darcel Sky Bray
• Andrew Breedlove
• Megan Brewer
• Danae Brister
• Brookfield Home Care
• Brooks Precision Optometry, Inc.
• Geraldine Royle Brooks, O.D.

• Optometrist in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.