Active NPI
Brenda Lea Biberdorf, RD, LN
- Registered Dietitian
- Rapid City, SD
National Provider Identifier
1912232943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0317
- Practice address
- 1220 Mount Rushmore Rd
Suite 1
Rapid City, SD 57701-8263 - Phone
- (605) 341-7500
- Fax
- (605) 341-7903
- NPI assigned
- Oct 8, 2009
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 0317 | SD | Primary |
Addresses
Primary practice location
1220 Mount Rushmore Rd
Suite 1
Rapid City, SD 57701-8263
Mailing address
1220 Mount Rushmore Rd
Suite 1
Rapid City, SD 57701-8263
Phone (605) 341-7500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1912232943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MOUNT RUSHMORE RD",
"address_2": "SUITE 1",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577018263",
"telephone_number": "605-341-7500",
"fax_number": "605-341-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MOUNT RUSHMORE RD",
"address_2": "SUITE 1",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577018263",
"telephone_number": "605-341-7500",
"fax_number": "605-341-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBERDORF",
"first_name": "BRENDA",
"middle_name": "LEA",
"credential": "RD, LN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SD",
"license": "0317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.