Brendan Beresford, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-106093 Issued in IL

Practice address

201 East Ogden Avenue
Suite 116
Hinsdale, IL 60521-2655

Phone

(630) 325-8893

Fax

(630) 325-8939

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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.

• Stillpoint Mental Health Associates, S.C.

  • Psychiatry Physician
  • Hinsdale, IL
  • NPI 1285653303

  IL, Psychiatry

  Medicare reassignment NPD
• Stillpoint Mental Health Associates, SC

  • Clinical Social Worker
  • Hinsdale, IL
  • NPI 1760854970
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1922075951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EAST OGDEN AVENUE",
            "address_2": "SUITE 116",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213655",
            "telephone_number": "630-325-8893",
            "fax_number": "630-325-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EAST OGDEN AVENUE",
            "address_2": "SUITE 116",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212655",
            "telephone_number": "630-325-8893",
            "fax_number": "630-325-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERESFORD",
        "first_name": "BRENDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036106093",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-106093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106093",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Richard Bell, APN
• Megan B Belleavia, RN, CNM
• Steven P. Beltran, M.D.
• Julia Bennett, NURSE PRACTITIONER
• Michael E Bercek, MD
• Laurie A. Berg, APN
• David Bergquist, M.D
• Connie Berhane, APN
• Zafeer Hussain Khan Berki, MD
• Better Care Inc

• All providers in Hinsdale, IL
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.