Active NPI
Joel O Brende, MD
- Psychiatry Physician
- St. Joseph, MO
National Provider Identifier
1912109760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2007008846
- Practice address
- 5325 Faraon St.
St. Joseph, MO 64506-3488 - Phone
- (816) 271-7273
- Fax
- (816) 271-7376
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 29002 | AZ | |
| Psychiatry Physician | 2084P0800X | 299002 | AZ | |
| Psychiatry Physician | 2084P0800X | 2007008846 | MO | Primary |
Addresses
Primary practice location
5325 Faraon St.
St. Joseph, MO 64506-3488
Mailing address
5325 Faraon St.
St. Joseph, MO 64506-3488
Phone (816) 271-7273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053184 | Medicaid | AZ |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299002 | AZ | MD | Psychiatry Physician |
| 2007008846 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastoral Institute, Inc | Past | Accepting new patients | |
| St Francis Health LLC | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Professional Counselor
- Columbus, GA
- NPI 1477605707
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1033228168
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505692800000",
"number": "1912109760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 FARAON ST.",
"city": "ST. JOSEPH",
"state": "MO",
"postal_code": "645063488",
"telephone_number": "816-271-7273",
"fax_number": "816-271-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 FARAON ST.",
"city": "ST. JOSEPH",
"state": "MO",
"postal_code": "645063488",
"telephone_number": "816-271-7273",
"fax_number": "816-271-7376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENDE",
"first_name": "JOEL",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2017-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "29002",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "299002",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2007008846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "053184",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.