Brenda E Hallenbeck, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

78152 Issued in MA

Practice address

140 W Boylston Dr
Worcester, MA 01606-2726

Phone

(508) 853-6662

NPI assigned

Jul 11, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1891720934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MILLWOOD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013775",
            "telephone_number": "508-853-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W BOYLSTON DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062726",
            "telephone_number": "508-853-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLENBECK",
        "first_name": "BRENDA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "78152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3118371",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey M Hall, NP
• Wiley R Hall, M.D.
• Wyatte Hall, PH.D.
• Melissa Hallaman, R.N.
• Margaret Mai Hallen
• Laura Donovan Hallett, M.D.
• Stephanie Halley
• Thomas Laurence Halley, ATC
• Kyle T. Halligan, M.D.
• Raney M Halpin, PTA

• Obstetrics & Gynecology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.