Erica M Brendel, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD019381E Issued in PA

Practice address

111 N 49TH St
Philadelphia, PA 19139-2718

Phone

(215) 471-1576

Fax

(215) 487-1641

NPI assigned

Dec 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Intercommunity Action, Inc

  • Community/Behavioral Health Agency
  • Phila, PA
  • NPI 1730224445

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1861676801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 49TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392718",
            "telephone_number": "215-471-1576",
            "fax_number": "215-487-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 49TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392718",
            "telephone_number": "215-471-1576",
            "fax_number": "215-487-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDEL",
        "first_name": "ERICA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD019381E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880103",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Praneeta Bremjit, MD
• Daphne Bremner, REGISTERED NURSE
• Remy Bremner, MD
• Robert John Brenchak, M.D.
• Brendanmoor Therapy LLC
• Katelyn Brendel, DO
• Beau Charles Brendley, PSY D
• Jose Reynaldo Brenes
• Scott A Brenman, MD
• Amanda Elizabeth Brennan, CRNP

• All providers in Philadelphia, PA
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.