Active NPI
Brenda Lee Henry, R.T (R)
- Radiologic Technologist
- Poplar, MT
National Provider Identifier
1881996460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 2836
- Practice address
- 107 H. St
Verne.E Gibbs Health Center
Poplar, MT 59255 - Phone
- (406) 768-3491
- NPI assigned
- Dec 2, 2010
- Last updated
- Dec 2, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 2836 | MT | Primary |
Addresses
Primary practice location
107 H. St
Verne.E Gibbs Health Center
Poplar, MT 59255
Mailing address
428 Edgar St
Wolf Point, MT 59201-1726
Phone (406) 653-2708
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2836 | MT | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1881996460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 EDGAR ST",
"city": "WOLF POINT",
"state": "MT",
"postal_code": "592011726",
"telephone_number": "406-653-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 H. ST",
"address_2": "VERNE.E GIBBS HEALTH CENTER",
"city": "POPLAR",
"state": "MT",
"postal_code": "59255",
"telephone_number": "406-768-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "R.T (R)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "MT",
"license": "2836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.